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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 lob address S JL....,.-2 24 %' Yarcclnunibc55Iq w ' I'70t �t Owner - L /5c,rE� Mailln address /6,a 3 miss/o city _ 5 2)r1 St"te Phone $ ?S- 3 a-7_3 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 OGv7.. Qv AoT /•(,e� r h 9522_ -3HANN 1v/9-52/9017299/c r t9 ko 404 • d 6' 1ii(i5-Irnry ek'_t, 3 ' 7 N 4 /4/9 7m ER JIM OR JACK WIRT'. 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. /1•27v-e C-cTC,•✓q✓• 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 •:.ti� Sf 1'I.i..14 15 r4o't to gc CnbbY fIX4g:1 LOCA11 ak 4G $