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2002, 04-12 Permit App: 02002546 MHProject Number: 020025-16 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/12/2002 Page 1 of 2 Project Information: Permit Use PLACEMENT OF DOUBLEWIDE MANUFACTURED HOME Setbacks: Front 38 Left. 8 Right 42 Rear: 33 Site Information: Plat Key: 11111)076 Name APPLE VALLEY ESTATES Contact: MOBILE CORRAL Address: 15906 E SPRAGUE C - S - Z: VERADALE WA 99037 Phone: (509) 532-8396 Group Name: Project Name: District: G Parcel Number 55192.0923 Block 2 Lot: 23 SiteAddress: 121 S BELL ST GREENACRES, WA USA 990 Location'. GRE Zoning' UR -7 Water District Arca 8,625 Sq Ft Urban Residential -7 Owner Name PAULUS, JEFFREY E & LEANNA Address 121 S BELL sT GREENACRES, WA 991116-93114 Hold' ❑ \Vidlh' 75 Depth: 115 Right Of Way (ft). 50 Nbr of Bldgs: 1 Nbr of Dwellings' 1 Review Information: Review Site Plan Review Released By Plan Review Septic System Review Permits: Operator DMD Printed By: DMD Print Date: 4/12/2002 Project Number' 020025-16 Inv 1 Application THIS IS NOT A -P E'RMIT Penalties will be assessed for commencing work without a permit Date: 4/12/2002 Page 2 of 2 Manufactured Home Contractor. ALLIED CONTRACTORS OF Firer ALLIED CONTRACTORS OF SPO Address: 4620 N STARR RD Phone (000) 000-0001) OTIS ORCHARDS, WA 991)27 Hein Description INSPECTION FEE COUNTY SURCHARGE Notes: Payment Summary: Permit Type Manufactured Home Units Unit Desc 2 SECTIONS 1 Y OR BLANK Permit Total Fees: Fee Amount Invoice Amount $122 00 $122.00 Fee Amount $101) 00 $22.00 Amount Paid $(I 00 $122.00 Amount Owing $122 00 $12200 $122.00 $0 00 $122.011 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized be the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this hype of work will he complied with. Subsequent issuance of a permit shall not be contrued to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator DMD Printed By: DMD Print Date: 4/12/2002 APf UCAT!.9N HNF-ORMATiON t o In V f S 1.t s 11.1.1. A58ri9C311 : n>! payee i > C3G<as", c as t.",3 s 5c1 — i (o Lepel description ea It flpflflnhl(1 on Ills in nontly./ronrl • . LO V ? 3 OWN[/1 or OCCUPAll • ritotte 3. -E -EQ PAQ'\Lb. SR q 22.~- -7 3E e np 1.c Wise y 9 P S4Nr -.. E. t s A fav E., I Who whoutd we contact ono:erring Mtn f„olrr;t'? Phone • ..,,.... 1 (..).-. Pt 1 28 -3 0 0 3 .1-9 what woof( Is !mingtiotit! ttlttlel-- t�s permit? ~ • CA • 11 A,`i ..: ?6 r ;-1--:tiI ,' ii,;z114� t�}t:. Fi i'.,nl:j' it J11,110{17 )'r:•fa+" r} i:'f:ii �rfl t daI <' yl,l �1 Jilnirr c�lefllci, � rI` 1, 1 :r',t-tr.,,.Iit•.t.l•1 ryl} p i } 3 1 I a � ". npanty z1. ..11 b'IP "6•11,.1}f }.14 i:1 •I? 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