1997, 05-21 Permit App 97003364 MHAPPLICATION DATE= 05/21/97
APPLICATION DATE= 05/21/97
PAGE= 01
PAGE= 01
PROJECT NUMBER= 97003364
PROJECT NUMBER= 97003364
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 518 S COACH DR PARCEL#= 55192.19 Z 3
ADDRESS= GREENACRES WA 99016
PERMIT USE= SINGLE WIDE MOBILE HOME (EXISTING SINCE 1989)
PLAT#=
BLOCK=
AREA=
# OF BLDGS=
000078 PLAT NAME= APPLE VALLEY ESTATES 2ND ADD.
4 LOT= 5 ZONE= UR-7 DIST#= G
00000000 F/A= F WIDTH= 52 DEPTH= 114 R/W= 50
1 # DWELLINGS= 1 WATER DIST =
OWNER= JENKINS-WARD, NORMA
STREET= 518 S COACH DR
ADDRESS= GREENACRES WA 99016
CONTACT NAME= NORMAN JENKINS-WARD
BUILDING SETBACKS: FRONT= 25 LEFT=..
PHONE= 509 926 3940
PHONE NUMBER= 509 926 3940
RIGHT= 20+ REAR= 20+
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
HEALTHDIST INCREASE IN LOT COVERAGE
COMMENTS: Sled
PLANNING INADEQUATE SIDE YARD SETBACK
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COMMENTS : A-M btizA �
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER PHONE=
YR/MAKE= 1984 FLEETWOOD MODEL=
SERIAL#= WIDTH= 14 LENGTH= 66 HEIGHT= 10
ITEM DESCRIPTION
INSPECTION FEE
COUNTY SURCHARGE
STATE SURCHARGE
PERMIT TYPE FEE AMOUNT
QUANTITY FEE AMOUNT
1
Y
Y
50.00
11.00
4.50
AMOUNT PAID AMOUNT OWING
PROJECT NUMBER= 97003364 APPLICATION DATE= 05/21/97 PAGE= 02
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MANUFACTURED HM 65.50 .00 65.50
65.50
PROCESSED BY: CAROL FRAZIER
PRINTED BY: CAROL FRAZIER
.00 65.50
******************************** THANK YOU ************************************
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APPLICATION INFORMATION
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What iJOBsagar SITE
a t:ss CT • ^ Qec ASSESSOR'S tax parcelnumber?oLl
Legal description as it appears o hhe property deed
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OWNER or OCCUPANT
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Mailing address
Phone
Ceeen) 6k wad tcW
City, state
Zip
Who should we c ntact regarding this project?
MR./Ames. QE:YO 4 - 2-J,9,40
Phone
What work is being done under this permit?
SELLA?s toiPLP
Contractor
Building height
Dimensions
# of stories
TOTAL SQUARE FOOTAGE
m
0
WA State Contractor license #
Main floor area
Unfinished basement area
Mailing address
2nd floor area
Finished basement area
Architect/Engineer
Garage area
Size of decks, etc.
What is the heat source]
What is the cost of your project]
Manufactured Home
Sign
Width:
/�
Length: 6 C.
What is the square footage of
the sign face?
How high is the sign?
Year:
//J 7
Make:
f—ZEEt(f)oop
Instal
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Contractor
Wa State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
Relocation
Fire Safety;,
Previous address
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
IGuel Storage Tarksi
%•,r:mming tool
(Circle one) Above -ground Underground
Contents of tank(s)
Size / gallons
Size / gallons
Private
Public/semi-private
Contractor
Contractor
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
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JIM OR JACK WIRTH
S..$&V TSCHIRLEY RC. - 926-114G
GREENACRES, WA, 99016
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