1993, 09-23 Permit App: 93008795 Mobile Home PROJECT NUMBER= 93008795 APPLICATION DATE= 09/23/93 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 17209 E COACH DR PARCEL#= 55192 . 1101
ADDRESS= GREENACRES WA 99016
PERMIT USE= SINGLE WIDE MOBILE HOME - REPLACEMENT
PLAT#= 000076 PLAT NAME= APPLE VALLEY ESTATES
BLOCK= 4 LOT= 1 ZONE= UR-7 DIST#= G
AREA= 00000000 F/A= F WIDTH= 70 DEPTH= 127 R/W= 50
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = CONSOLIDATED IRRG #1
OWNER= KERBS, OWEN E & NANCY PHONE= 509 922 7267
STREET= 11123 E 7TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= NANCY KERBS PHONE NUMBER= 509 922 7267
BUILDING SETBACKS: FRONT= 30 LEFT= 5+ RIGHT= 5+ REAR= 27
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
HEALTHDIST NEW OR ADDITIONAL WASTE WATER 6 �d e w , 7/1,7
COMMENTS: .d' �j3 9ei
PLANNING INAPPROPRIATE USE WITHIN ZONE A03 i. A g,9A4P.C.-442-
COMMENTS: =�X(•i f.)C �04I C OiL) /MW 6, ,4e. c T- -Alp 19/44cz 4 & -L7
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****************************** MOBILE HOME PERMIT **************** *********
CONTRACTOR= OWNER PHONE=
YR/MAKE= 1978 BUDDY MODEL=
SERIAL#= WIDTH= 14 LENGTH= 70 HEIGHT= 00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
PLNG-PERMIT REVIEW; 119 Y 20. 00
INSPECTION FEE 1 50 . 00
STATE SURCHARGE Y 4 . 50
COUNTY SURCHARGE Y 9. 00
APPLICATION WORKSHEET
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General Information .f� vca
Job address Parcel number
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Site Information
Legal Description
Property size Water District Number of: Dwellings Buildings
Zone Inspector Road width
Project Information
Permit Use -New Addition Remodel Change of use
Building Information 1 �7� S �� k U
Dwelling units Occupant load -Building eight Stories
Building dimensions Total square footage -Req'd parking -Handicap parking Sprinkler system Critical Material
Square footage breakdown Heating and insulation information (R-values)
Main floor Uncovered/covered deck Heat source
Second floor Other Hat ceiling Vaulted ceiling Above grade wall
Finished basement Below grade wall Floor Slab on grade
Unfinished basement Door(u-value) Window Furnace elf cency
Garage total window area %of floor area
Contractor Information
Building contractor Plumbing contractor
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 PIIONE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
ADDRESS: E 1.■. 9 6--vG 'L
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REVIEWED BY: IFIllikt
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