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:
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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:
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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
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Atitiftt Btoom qg,
ZONE (A.
ROAD WIDTH 50
FRONT9 0 FLANKING 10
COMMENTS.
REVIEWED BY
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