1993, 07-14 Permit App 93005828 MHPROJECT NUMBER= 93005828 APPLICATION
DATE= 07/14/93
PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 512 S COACH DR PARCEL#= 55192.1904
ADDRESS= GREENACRES WA 99016
PERMIT USE= DOUBLE WIDE MOBILE HOME
PLAT#= 000000 PLAT NAME= UNKNOWN
BLOCK= LOT= ZONE= UR-7 DIST#= F
AREA= 00000000 F/A= F WIDTH= 41 DEPTH= 1000 R/W=
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= SEIMER, LINDA
STREET= 512 S COACH DR
ADDRESS= GREENACRES WA 99016
PHONE= 509 535 3073
CONTACT NAME= LINDA JO SEIMER PHONE NUMBER= 509 535 3073
BUILDING SETBACKS: FRONT= 60 LEFT= 30 RIGHT= 36 REAR= 80
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
es.A pQ0.1k
f HEALTHDIST INCREASE IN LOT COVERAGE
COMMENTS:
/15 p,t,„
016- 7-"-/-13
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER PHONE=
YR/MAKE= 94/OAK GROVE MODEL= FLEETWOOD
SERIAL#= WIDTH= 26 LENGTH= 56 HEIGHT= 10
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
INSPECTION FEE 2 100.00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 18,00
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
MOBILE HOME PMT 122.50 .00 122.50
122.50
.00 122.50
PROJECT NUMBER= 93005828 APPLICATION DATE= 07/14/93 PAGE= 02
*******************************************************************************
* PROJECT NOTE: TOPIC = CONDITIONS DEPT = BUILDING *
*******************************************************************************
MOBILE HOME IS REQUIRED TO BE A CLASS A MOBILE HOME
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
******************************** THANK YOU ************************************
APPLICATION WORKSHEET
93- 52Y
General Information
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Owner -
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Phone
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Site Information
ti
Legal Dcscnptton
Property size
Water Distnct
i
A weeiz
Number on
Dwellings
Buildings
Project Information
Permit se
r tlh/I —(4p
L Building Information U
New
b1ddWon
Remodel
(mange of use
Dwelling units
Occupantload
Building height
Stones
CnticalMatenal
Budding dimensions
"lotal square footage
Keq'd parking
Handicap parking
Spnakler system
square footage breakdown
am floor
Uncovered / covered deck
Second floor
Other
Ytnished basement
Untinishedltasement
--Garage
L
Contractor Information
Heating and insulation information (R—values)
Heat source
flat ceiling Vaulted ceiling Above grade wall
Below grade wall Floor Slab on grade
Door (u—value) Window Furnace efhcency
l oral window area % of floor area
-t r
Building contractor
Plumbing contractor
Phone
License number Phone
License number
Mailing address
Mailing address
City, state, zip
City, state, zip
Heating contractor
Other/ Lender
Phone
License number Phone
License number
Mailing address
Mailing address
City, state, zip
City, state, zip
PROJECT CONTACT
PHONE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
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S. 420 TSCHIRLEY RD. - 926-7
GREENACRES, WA. 99016
SPECIFICA
./TYPE OF SEWAGE SYSTEM:
• LINEAL CR SNARE FOOTAGE:
TRENCH "WIDTH: _ .--
DEPTH FROM ORIG'NAI. GROUND SU
OE SEWAGE SYSTEM:
OTHER:
SIGNATURE:
II
.sf
a 6(4 sf.wd. ArAa Ic.
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IF YOU CANNOT INSTALL THIS SYST
TO THIS APPROVED PLAN, YOU MUST
AT 324.1560 PRIOR TO 1NSTA
i
FACE TO BC
DATE;
.M ACCORDING
ALL THE OFFJCL
TION
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