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1999, 02-17 Permit App: 99001107 MHProject Number: 99001107 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: x:;zu..tz :tr, ttzA;.ta x w zutxWMMMW xMAMMIzzri. t IMI c mxxnc xMMxxru , t . w.z :Kt,.z; xz AMtra t,tkiM;z•K>.x�cu Date: 2/17/99 Page 1 of 2 Permit Use: NEW SINGLE WIDE MANUFACTURED HOME REPLACEMENT Setbacks: Front 40 Left: 16 Right: 40+ Rear: 13 Contact: GOODNIGHT, DAVID Address: 18904 E BLOOM CIR C - S - Z GREENACRES, WA 99016 Phone: (509) 000-0000 Site Information: mmws•:- {\svat., '::::[..M..C:S 4.'e. "ix 4•"',Wl9 i0. »'As^;$$$ SM:%* $$it`NMri VW£k:4t?i+ ^' +t'S v 0Yz?W4,\ }Y&?WBi W:M,.'YAE Plat Key: MH002 Name: LA BERRY MOBILE PARK District: G Parcel Number: 55173.2509 SiteAddress: 18904 E BLOOM CIR Owner: Name: GOODNIGHT, DAVID GREENACRES, WA USA 99 Address: 18904 E BLOOM CIR Location:: GRE GREENACRES, WA 99016 Zoning: UR -7 Urban Residential -7 Water District: 999 UNKNOWN Hold: ❑ Area: 7,150 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: sem=>sY>�s.n Department BUILDING Comments: BUILDING Comments: ZIA 4o'1. HEALTHDISTRICT Sep cSystem Review Review Site Plan Review Comments: BUILDING Comments: Permits: Sewage sot for °� bedrooms only. Special Reviews F1-041•) kU N b ST SE 6PCt Contractor: OWNER Address: 0 000000, 00 000000 Item Description STATE SURCHARGE INSPECTION FEE COUNTY SURCHARGE Manufactured Hume Firm: OWNER Phone: (000) 000-0000 Units Unit Desc 1 Y OR BLANK 1 SECTIONS 1 Y OR BLANK Fee Amount $4.50 $50.00 $11.00 Permit Total Fees: $65.50 Project Number: 99001107 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 2/17/99 Page 2 of 2 Payment Summary: $$$$$$$$$$$:::MS:MSMONMOOSS: Mzk-Vgff.M:Mss.kt:*MW:M*:.',.$$;ct:zxx-x'•NwSMSO::,it,W:*:::*5$f4:::*S:*sx,W,*x::M.:::M:t•$::*.zMMI' • "4 *** ...... Operator: RMB Printed By: RMB Print Date: 2/17/99 Permit Type Fee Amount Invoice Amount Amount Paid Amonnt Owing Manufactured Home $65.50 $65.50 $0.00 $65.50 $65.50 $65.50 $0.00 $65.50 Notes: Km.:.,..Kmw.:xa::mmm:mmvwmoiw.›.-m,.m.mwximgmmggmgwg. mmt..mmg.mmtawmtimmag.:.-mv.k.moimm:,:vmacti.vmmg§gmoimmv.,:iaig§mv:m Atitiftt Btoom qg, ZONE (A. ROAD WIDTH 50 FRONT9 0 FLANKING 10 COMMENTS. REVIEWED BY 4 44: This . - ' r purni-se of : Is a ansf: cornmi tf-e proposai. Ai! known :ocry Puit) sirkiciure's ancf op2P;nerl'.s f.ave beer. ',derti:i'ind. A150 indPated are v;r::,Viands, of ereep pic.Tos or oti r