1994, 05-18 Permit App: 94004478 Mobile Home^ PROJECT NUMBER= 94004478 APPLICATION -
******
THIS IS NOT A PERMIT
DATE= 05/18/94 PAGE= 01
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 315 N CORBIN RD PARCEL#= 55183.0645
ADDRESS= GREENACRES WA 99016
PERMIT USE= DOUBLE WIDE MOBILE HOME (PLACED IN 1979)
PLAT#= 000500 PLAT NAME= CORBIN ADD TO GREENACRES
BLOCK= 17 LOT= 13 ZONE= UR -7 DIST#= G
AREA= 00000000 F/A= F WIDTH= 84 DEPTH= 185 R/W= 30
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= PALAHNIUK, FRED
STREET= PO BOX 727
ADDRESS= NEWMAN LAKE WA 99025
CONTACT NAME= FRED PALAHNIUK
BUILDING SETBACKS: FRONT= 50 LEFT= 5
PHONE= 509 226 2094
PHONE NUMBER= 509 226 2094
RIGHT= 19 REAR= 50+
****************************** REVIEW INFORMATION **F*k*k*k**k*******
DEPARTMENT REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
HEALTHDIST NEW OR ADDITIONAL WASTE WATER 4/(1,'/
COMMENTS: etyyl,��j�-�
PLANNING SITE PLAN REVIEW
COMMENTS:
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER
YR/MAKE= 1979 BUDDY
SERIAL#=
ITEM DESCRIPTION
PHONE=
MODEL=
WIDTH= 24 LENGTH= 60 HEIGHT= 00
QUANTITY FEE AMOUNT
PLNG–PERMIT REVIEW; 119 Y 21.00
INSPECTION FEE 2 100.00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 18.00
PROJECT NUMBER= 94004478 APPLICATION
PERMIT TYPE FEE AMOUNT
MANUFACTURED HM 143.50
143.50
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
DATE= 05/18/94 PAGE= 02
AMOUNT PAID AMOUNT OWING
.00 143.50
.00 143.50
******************************** THANK YOU ************************************
APPLICATION WORKSHEET
General Information
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Site Information
Legal Description
Property size
Gond
-Pa ice number
Water District
Inspector..
( Number or:
Road width
19'1 q
Project Information — Nud(
Ye/`n1t� V,( New
HA (MU
I Building Information 4
IAddition
Dwellings tlulduIS
— p.14 x LID
1 Remodel I Lbange or use
[welling units
Building dimensions
IOccupant load
Fetal square tootage
1 Building height
Keq'd parting
5
tones
1 Handicap pa rl-tng j Spinner system I Lnttcal Material
1
uare footage breakdown
am Boor
Uncovered /covered deck
Second floor
Other
I -mashed basement
Untmished basement
garage
Contractor Information III
adding contractor
Plumbing contractor
License number
Phone
License number
Phone
Mailing address
Mailing address
City, state, zip
City, state, zip
I [eating contractor
Other / Lender
License number
Phone
License number
hone
anmga••rens
ailing address
City, state, zip
City, state, zip
PROJECT CONTACT
PHONE ll
Spokane County Division of Buildings
1026 West Broadway Ave " Spokane, Wa 99260 * (509) 456-3675
date:
:,dJress:
Vltl(i1,NAL, SITE PLAN
.'rn proposing to build:
Parcel number or
legal description:
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