1998, 06-11 Permit App: 98005153 MHPROJECT NUMBER= 98005153
PROJECT NUMBER= 98005153
A
APPLICATION'
APPLICATION
DATE= 06/11/98
DATE= 06/11/98
PAGE= 01
PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET=
ADDRESS=
PERMIT USE=
PLAT#=
BLOCK=
AREA=
# OF BLDGS=
19115 E BUCKEYE AVE
OTIS ORCHARDS WA 99027
PARCEL#= 55082.0133
2ND MOBILE AS DUPLEX (CONNECTED BY CARPORT SEE 98-5152)
004018 PLAT NAME=
LOT=
00000005 F/A=
1 # DWELLINGS=
SP -327
ZONE= UR -3.5 DIST#=
A WIDTH= 231 DEPTH= 702
1 WATER DIST = UNKNOWN
OWNER= HANSON, SORAYA
STREET= 19115 E BUCKEYE AVE
ADDRESS= OTIS ORCHARDS WA 99027
CONTACT NAME= SRAYA
BUILDING SETBACKS: FRONT= 60
G
R/W= 50
PHONE= 509 891 4055
PHONE NUMBER= 509 891 4055
LEFT= 50+ RIGHT= 20+ REAR= 20+
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
HEALTHDIST NEW OR ADDITIONAL WASTE WATER
COMMENTS:
PLANNING LAND USE ACTION REQ'D/INVOLVED
COMMENTS: C
C'ejfi--71-iurjf
****************************** MOBILE HOME PERMIT
CONTRACTOR= OWNER
YR/MAKE= 78/CONCORD
SERIAL#=
ITEM DESCRIPTION
****************************
PHONE=
MODEL=
WIDTH= 14 LENGTH= 66 HEIGHT= 12
INSPECTION FEE
COUNTY SURCHARGE
STATE SURCHARGE
PERMIT TYPE FEE AMOUNT
QUANTITY FEE AMOUNT
2
Y
Y
100.00
22.00
4.50
AMOUNT PAID AMOUNT OWING
PROJECT NUMBER= 98005153 APPLICATION
DATE= 06/11/98 PAGE= 02
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MANUFACTURED HM 126.50 .00 126.50
126.50
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
.00 126.50
******************************** THANK YOU ************************************
/-.
PROJECT NUMBER= 98005153 APPLICATION'
PROJECT NUMBER= 98005153 APPLICATION
DATE= 06/11/98
DATE= 06/11/98
PAGE= 01
PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 19115 E BUCKEYE AVE PARCEL#= 55082.0133
ADDRESS= OTIS ORCHARDS WA 99027
PERMIT USE= 2ND MOBILE AS DUPLEX (CONNECTED BY CARPORT SEE 98-5152)
PLAT#= 004018 PLAT NAME= SP -327
BLOCK= LOT= ZONE= UR -3.5 DIST#= G
AREA= 00000005 F/A= A WIDTH= 231 DEPTH= 702 R/W= 50
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = UNKNOWN
OWNER= HANSON, SORAYA
STREET= 19115 E BUCKEYE AVE
ADDRESS= OTIS ORCHARDS WA 99027
CONTACT NAME= SRAYA
BUILDING SETBACKS: FRONT= 60 LEFT= 50+ RIGHT= 20+ REAR= 20+
PHONE= 509 891 4055
PHONE NUMBER= 509 891 4055
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
HEALTHDIST NEW OR ADDITIONAL WASTE WATER
COMMENTS:
Sewage system designed ,(
far 3 bedrooms only. !/
PLANNING LAND USE ACTION REQ'D/INVOLVED (�� Cair ryl-
COMMENTS:
co
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER
YR/MAKE= 78/CONCORD
SERIAL#= WIDTH= 14 LENGTH= 66 HEIGHT= 12
MODEL=
PHONE=
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
INSPECTION FEE 2 100.00
COUNTY SURCHARGE Y 22.00
STATE SURCHARGE Y 4.50
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING