1993, 06-29 Permit App: 93005305 MHPROJECT NUMBER= 93005305 APPLICATION DATE= 06/29/93 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 17320 E COACH DR PARCEL#= 55192.0904
ADDRESS= GREENACRES WA 99016
PERMIT USE= DOUBLE WIDE MOBILE HOME (REPLACEMENT)
PLAT#= MH0002 PLAT NAME= APPLE VALLEY ESTATES
BLOCK= 2 LOT= 4 ZONE= UR -7 DIST#= G
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 50
# OF BLDGS= 2 # DWELLINGS= 1 WATER DIST =
OWNER= PAGENSTECHER, GERHARD
STREET= 17320 E COACH DR
ADDRESS= GREENACRES WA 99016
PHONE= 509 924 0860
CONTACT NAME= GERHARD PAGENSTECHER PHONE NUMBER= 509 924 0860
BUILDING SETBACKS: FRONT= NA LEFT= 52 RIGHT= 18 REAR= 23
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
i
HEALTHDIST NEW OR ADDITIONAL WASTE WATER=i
COMMENTS:
.o,0
yg
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER
PHONE=
YR/MAKE= 1993 LIBERTY MODEL=
SERIAL#= WIDTH= 28 LENGTH= 60 HEIGHT= 00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
INSPECTION FEE 2 100.00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 18.00
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
MOBILE HOME PMT 122.50 .00 122.50
122.50
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
.00 122.50
PROJECT NUMBER= 93005305 APPLICATION
DATE= 06/29/93 PAGE= 02
******************************** THANK YOU ************************************
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REVIEWED
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