1994, 07-05 Permit App: 94006235 MHPROJECT NUMBER= 94006235 APPLICATION' DATE= 07/05/94 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 7119 E 5TH AVE PARCEL#= 35241.3409
ADDRESS= SPOKANE WA 99212
PERMIT USE= DOUBLE WIDE MOBILE HOME
PLAT#= 000735 PLAT NAME= EMPIRE HEIGHTS ADD
BLOCK= 2 LOT= 28 ZONE= UR -7 DIST#= G
AREA= 00000000 F/A= F WIDTH= 60 DEPTH= 127 R/W= 60
# OF BLDGS= 1 # DWELLINGS= WATER DIST =
OWNER= BONEBRIGHT, TERESA
STREET= 824 S ROBINHOOD RD
ADDRESS= SPOKANE WA 99206
PHONE= 509 928 1048
CONTACT NAME= TERESA BONEBRIGHT PHONE NUMBER= 509 928 1048
BUILDING SETBACKS: FRONT= 25 LEFT= 5 RIGHT= 5 REAR= 15
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING
COMMENTS:
SETBACK REVIEW RE IRED c* Pee. S I 1) (can
`1-5-94/
ENGINEER APPROACH/ DRAINAGE/ FLOOD 4ter/ 5QG(U%c, /�!o ��
COMMENTS:
HEALTHDIST NEW OR ADDITIONAL WASTE WATER
COMMENTS:
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER PHONE=
YR/MAKE= 94/OAK GROVE MODEL= FLEETWOOD
SERIAL#=
WIDTH= 28 LENGTH= 56 HEIGHT= 10
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
INSPECTION FEE 2 100.00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 18.00
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
PROJECT NUMBER= 94006235 APPLICATION DATE= 07/05/94 PAGE= 02
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
MANUFACTURED HM 122.50 .00 122.50
122.50
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
.00 122.50
******************************** THANK YOU ************************************
APPLICATION WORKSHEET
L General Information
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Parcel number
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Site Information
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Property size
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Zone
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Number ot: Dwellings—bwld
Inspector:
Road width
Project Information
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Permit Use nCU*wa kora Double
Building Information
New
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IAddition I Remodel
Change of use
Dwelling units
Occupant Toad
building height
Stones
Building dimensions
'1 otaI square footage
Req'd parking
Handicap parking
Spnnkler system 1 Critical Matenal
Cia rage
Mailing address
Square footage breakdown
Main floor
Uncovered /covered deck
Second floor
Other
Ignshed basement
License number
Unfinished basement
Mailing address
Cia rage
Mailing address
Contractor Information
Heatin, and insulation information R—values
eat source
License number
Phone
License number
Phone
Mailing address
Mailing address
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armee e
fancy
Heating contractor
Phone
Other / Lender
License number
lluildutg contractor
Plumbing contractor
License number
Phone
License number
Phone
Mailing address
Mailing address
City, state, zip
City, sta te, zip
Heating contractor
Phone
Other / Lender
License number
Phone
License number
Mailing address
Mailing address
City, state, zip
City. stale, zip
!PROJECT CONTACT
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Spokane County Division of Buildings
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DEPTH FROM ORH.IWAL GROUND SURFrE TO BOTTOM'
OF SEWAGE SYSTEM: /5- 2- f' 1
OTHER:A err a,7( ,SY667/2 rffity
IR YOU CANNOT INSTALL THIS SYSTEM ACCORDING
TdTHIS APPROVED PLAN, YOU MUST CALL THE OFFICE
„r PRIOR T.0 INSTALLATION.
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