1994, 12-28 Permit App: 94012540 MHPROJECT NUMBER= 94012540 APPLICATIDN
DATE= 12/28/94 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 3019 S BEST RD PARCEL#= 45263.1457
ADDRESS= VERADALE WA 99037
PERMIT USE= SINGLE WIDE MOBILE HOME
PLAT#= 002748 PLAT NAME= VERA
BLOCK= 239 LOT= ZONE= SR -1 DIST#= F
AREA= 00000002 F/A= F WIDTH= 1800 DEPTH= 4800 R/W= 40
# OF BLDGS= 4 # DWELLINGS= 1 WATER DIST =
OWNER= HILBY, PAUL
STREET= 3019 S BEST RD
ADDRESS= VERADALE WA 99037
PHONE= 509 922 1933
CONTACT NAME= PAUL HILBY PHONE NUMBER= 509 922 1933
BUILDING SETBACKS: FRONT= 50 LEFT= EXIS RIGHT= EXIS REAR= EXIS
****************************** REVIEW INFORMATION ********** *******************
DEPARTMENT REVIEW REQUIREMENT
BUILDING L & I ALTERATION PERMIT
APPROVAL: INSPECTION DONE 12/28/94 DATE: 12/28/94
BUILDING SETBACK REVIEW REQUIRED
APPROVAL: J. LARSON DATE: 12/28/94
HEALTHDIST INCREASE IN LOT COVERAGE
COMMENTS:
conn L4 7
C)k /95
-re
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER PHONE=
YR/MAKE= 1977 MODEL=
SERIAL#= WIDTH= 24 LENGTH= 60 HEIGHT= 10
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
INSPECTION FEE 1 50.00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 9.00
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
PROJECT NUMBER= 94012540 APPLICATION
PERMIT TYPE
DATE= 12/28/94 PAGE= 02
FEE AMOUNT AMOUNT PAID AMOUNT OWING
MANUFACTURED HM 63.50 .00 63.50
63.50
PROCESSED BY: CAROL FRAZIER
PRINTED BY: CAROL FRAZIER
.00 63.50
******************************** THANK YOU ************************************
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