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
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