1997, 08-14 Permit App: 97006151 Manufactured HomePROJECT NUMBER= 97006151
PROJECT NUMBER= 97006151
******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
t
APPLICATION
APPLICATION
THIS IS NOT A PERMIT
DATE= 08/14/97
DATE= 08/14/97
******
PAGE= 01
PAGE= 01
SITE STREET=
ADDRESS=
PERMIT USE=
PLAT#=
BLOCK=
AREA=
# OF BLDGS=
506 N CORBIN RD PARCEL#= 55183.0547
GREENACRES WA 99016
SINGLE WIDE MANUFACTURED HOME REPLACEMENT
000500
17
1
PLAT NAME= CORBIN ADD TO GREENACRES
LOT= 4 ZONE= UR -7 DIST#= G
F/A= WIDTH= DEPTH= R/W= 40
# DWELLINGS= 1 WATER DIST = CONSOLIDATED IRRG #1
PHONE= 509 924 1025
OWNER= HANSEL, LARRY
STREET= 506 N CORBIN RD
ADDRESS= GREEENACRES WA 99016
CONTACT NAME= LARRY
BUILDING SETBACKS: FRONT= 25
LEFT= 18
PHONE NUMBER=
RIGHT= 37 REAR= 32
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
HEALTHDIST
COMMENTS:
"4bNt"DN1g rp-)WU
INCREASE IN LOT COVERAGE
****************************** MOBILE
CONTRACTOR= OWNER
H
E P
IT
t7
********** ****************
'PTrbNE_
YR/MAKE= 96/MARLETTE MODEL=
SERIAL#= WIDTH= 14 LENGTH= 66 HEIGHT= 10
ITEM DESCRIPTION QUANTITY
INSPECTION FEE
COUNTY SURCHARGE
STATE SURCHARGE
PERMIT TYPE FEE AMOUNT
MANUFACTURED HM
65.50
65.50
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
1
Y
Y
AMOUNT PAID
FEE AMOUNT
50.00
11.00
4.50
AMOUNT OWING
.00 65.50
.00 65.50
PROJECT NUMBER= 97006151
APPLICATION
DATE= 08/14/97 PAGE= 02
******************************** THANK YOU ************************************
SPOKANE COUNTY HEALTH DISTRICT
Environmental Health Division
West 1101 College, Spokane, WA 99201 (509) 324-1560
SEWAGE SYSTEM VERIFICATION FORM
Since our office does not have information on file showing the location and size of your
system, please provide the following information in order for us to review your proposal.
Project address:
Property owner:
N X06 C 0ZIM
Address:
L. A,Qe 4-1 t>J
al '24 \b2
Phone:
Existing property use: Xresidential omulti-family
If a business, name and nature:
If a business, approximate metered water consumption:
Type of wastewater fixtures connected to sewage system(s):
toilets
car wash
dishwasher
showers/tub
sprinkler system
gallons per
2.. sinks 1 laundry
hot tub/spa swimming pool
Year structure built: 56 Year sewage system installed: $7
Number of bedrooms: 2.
Has existing sewage system(s) been reconstructed or repaired? DYes XV°
If yes, when: Reason:
Location and size of the system: Please make or submit a drawing showing location, dimensions, and
measurements of your lot, structure, sewage system(s), water wells, waterline, driveways, direction "north",
etc. IDENTIFY WHAT IS DRAWN.
t05'
I ce+ify that this i formation
♦.
true to the best of my knowledge.
_ °N15h.RESS
4/94 ZONE
ROAD WIDTH 4O
FRONTFLANKIN� 2i Y1 / N�
COMMENTS r t Ai S
REVIEWED BY
7
Date
SPOKANE COUNTY HEALTH DISTRICT
Environmental Health Division
West 1101 College, Spokane, WA 99201 (509) 324-1560
SEWAGE SYSTEM VERIFICATION FORM
Since our office does not have information on file showing the location and size of your
system, please provide the following information in order for us to review your proposal.
Project address:
Property owner: Address:
L.. A2_2 4-1 L..) �L- �---
N 506, C 2 tJ al 7.,4 ' b2
Phone:
Existing property use: residential omulti-family
If a business, name and nature:
If a business, approximate metered water consumption: gallons per
Type of wastewater fixtures connected to sewage system(s):
1 toilets ( showers/tub y sinks 1 laundry
car wash sprinkler system hot tub/spa swimming pool
dishwasher
Year structure built: 5 6 Year sewage system installed: 5 7
Number of bedrooms: 2.
Has existing sewage system(s) been reconstructed or repaired? oYes >I V°
If yes, when: Reason:
Location and size of the system: Please make or submit a drawing showing location, dimensions, and
measurements of your lot, structure, sewage system(s), water wells, waterline, driveways, direction "north",
etc. IDENTIFY WHAT IS DRAWN.
I OS'
I ce0ify that this i formation 0 true to the best of my knowledge.
•fje atur:igth�•
roperty o'I5SRESS
7
B• \4.97
Date
4/94 ZONE
ROAD WIDTH FL
FROANKING Q is .liter• 1 g` 4 7
FO�ziv�/A/h
COMMENTS 'N l
REVr WED BY CJ '
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