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1994, 01-26 Permit App: 94000589 MHPROJECT NUMBER= 94000589 APPLICATION DATE= 01/26/94 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 2919 N RIVISTA DR PARCEL#= 55071.0602 ADDRESS= OTIS ORCHARD WA 99027 PERMIT USE= DOUBLE WIDE REPLACEMENT PLAT#= 002265 PLAT NAME= BLOCK= 4 LOT= AREA= 00000000 F/A= # OF BLDGS= 1 # DWELLINGS= RIVERVIEW MOBILE HOME SUB. 2 ZONE= UR -7 DIST#= G F WIDTH= 90 DEPTH= 121 R/W= O 1 WATER DIST = OWNER= BLESSING, ROSELYN STREET= 2919 N RIVISTA DR ADDRESS= OTIS ORCHARD WA 99027 CONTACT NAME= MARY ANN GOODMAN PHONE= 509 926 5109 PHONE NUMBER= 509 226 0388 BUILDING SETBACKS: FRONT= 30 LEFT= 13 RIGHT= 12 REAR= 32 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING SETBACK REVIEW REQUIRED COMMENTS: HEALTHDIST COMMENTS: NEW OR ADDITIONAL WA TE WATER $ k ViL //J7/44 nl, - zf,„4.! ****************************** MOBILE HOME PERMIT ***************************** CONTRACTOR= OWNER YR/MAKE= 1994 MARLETT SERIAL#= ITEM DESCRIPTION PHONE= MODEL= WIDTH= 26 LENGTH= 48 HEIGHT= 10 INSPECTION FEE STATE SURCHARGE COUNTY SURCHARGE PERMIT TYPE FEE AMOUNT MANUFACTURED HM 122.50 122.50 PROCESSED BY: JEFF FORRY PRINTED BY: BURRIS, ROBIN QUANTITY FEE AMOUNT 2 Y Y AMOUNT PAID 100.00 4.50 18.00 AMOUNT OWING .00 122.50 .00 122.50 PROJECT NUMBER= 94000589 APPLICATION DATE= 01/26/94 PAGE= 02 ******************************** THANK YOU ************************************ APPLICATION WORKSHEET General Information Job address ,v 2? / Parcel number Owner/ os yMailinJaddress C /,330 City 5/10 7A k A9/Gti Phone State Gip F Site Information Legal Descnption TLS Property size Water Uistnct Number of: Dwellings sone :: Inspector Roadwtdth Buildings Project Information hermit Use New /7 Addition Remodel Change of use ■ lotal square tootage Building Information Dwelhng units Occupant load Building height Stones Building dimensions lotal square tootage Req'dparking Handicap parkrng Spnnkler system Cntical Matenal Furnace etficency total window area Square footage breakdown Main floor Uncovered /covered deck Second floor Other Finished basement Moor Unfinished basement Door (u—value) Cia rage Furnace etficency Contractor Information II Heating and insulation information (R—vara) Heat source Hat ceiling Vaulted ceihng Above grade wall Below grade wall Moor Slab on grade Door (u—value) Window Furnace etficency total window area % of tloorarea 'Building contractor Plumbing contractor 1 License number Phone License number Phone Mailing address Mailing address City, state, zip City, state, zip Heating contractor Other / Lender License number Phone License number Phone Mailing address Mailing address City, state, zip City, state, zip PROJECT CONTACT PHONE Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675 u,2 6 CC C_E ZONE: U42--'1 ROAD WIDTH: SCD FRONT: 3o FLANKING: COMMENTS: REVIEWED Y. P[ ©T PCA N ; N. 2914 Ri vizTA D2. Orc5 dRC4i R.Ds