1994, 02-28 Permit App: 94001575 MH PROJECT NUMBER= 94001575 APPLICATION DATE= 02/28/94 PAGE= 01
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****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
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SITE STREET= 17314 E 6TH AVE PARCEL#= 55192. 1916
ADDRESS= GREENACRES WA 99016
PERMIT USE= DOUBLE WIDE MOBILE HOME (RELACEMENT) W/COV PORCH
PLAT#= 000078 PLAT NAME= APPLE VALLEY ESTATES 2ND ADD.
BLOCK= 4 LOT= 16 ZOITE= UR-7 DIST#= G
AREA= 00000000 F/A= F WIDTH= 79 DEPTH= 170 R/W= 50
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = CONSOLIDATED IRRG #1
OWNER= CARTER, TED J & KATHERINE PHONE= 509 924 0203
STREET= 17304 E 6TH AVE
ADDRESS= GREENACRES WA 99016
CONTACT NAME= TED OR KATHERINE CARTER PHONE NUMBER= 509 924 0203
BUILDING SETBACKS: FRONT= 30 LEFT= 38 RfGHT= 5 REAR= 84
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
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BUILDING PLAN REVIEW REQUIRED <7:,A
COMMENTS: Q 5KIP5 00AllhAmS I . �� '
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BUILDING SETBACK REVIEW REQUIRED 1.) ,/ • 1
COMMENTS: y r a
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EALTHD R'•T W O A DIT ONAL WA TE WATER A(."-g4 a %.10,
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COMMENTS: ! 3 EE, G _
******************************* BUILDING PE IT *******************************
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= ADDITION= X CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 8 STORIES= 1
BLDG W X D = 8 X 20 SQ FT= 160 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
COV DECK R-3 VN 1¢0 1120. 00
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PROJECT NUMBER= 94001575 APPLICATION DATE= 02/28/94 PAGE= 02
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 35 . 00
STATE SURCHARGE Y 4 . 50
RESIDENTIAL SURCHARGE I Y 6.30
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER PHONE=
YR/MAKE= 1994 NASHUA MODEL=
SERIAL#= WIDTH= 28 LENGTH= 56 HEIGHT= 00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
INSPECTION FEE 2 100. 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 45 . 80 . 00 45 . 80
MANUFACTURED HM 100. 00 . 00 100. 00
145 . 80 . 00 145 . 80
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
******************************** TANK YOU ************************************
APPLICATION_WORKSHEET
General Information `
Job address Parcel number
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Site Information
Legal Description
Property size Water Distnct Numberot: Dwellings Buildings
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Lone Inspector
Ro9dwidth 50
Project Information ` n - /&4
Permit Use I,,II,fC� F`Ks^� I l/ New Addition Remodel Change of use
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Building Information
Dwelling units Occupant load Building height Stones
Building dimensions Total square tootage Req'd parking Handicap parking Sprinkler system Cntical Material
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Square footage breakdown Heating and insulation information (R—values)
Main floor Uncovered/covered deck Heat source
Second Boor Other Hat ceiling Vaulted ceiling Above grade wall
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Contractor Information I
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PROJECT CONTACT PHONE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
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