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2001, 08-22 Permit App: 01007103 MHProject Number: 01007103 Inv: 1 Application Date: 8/22/2001 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: ............................................................................................ Permit Use: NEW DOUBLE WIDE MANUFACTURED HOME Setbacks: Front 25 Left: 30 Right: 50+ Rear: 35 Site Information: Plat Key: 006038 Name: SP -941 Contact: CHD, INC. Address: PO BOX 13717 C - S - Z: SPOKANE, WA 99213 Phone: (509) 926-5229 Group Name: Project Name: District: G Parcel Number: 55182.2503 Block: SiteAddress: 805 N COACH LN GREENACRES, WA USA 990 Location:: GRE Zoning: UR -3.5 Water District: Urban Residential 3.5 Area: 23,748 Sq Ft Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Lot: Owner: Name: HOPKINS, DENNIS Address: P.O. BOX 412 MEDICAL LAKE, WA 99022 Hold: ❑ Depth: 0 Right Of Way (ft): 30 Department BUILDING Hold Reasons: 1r iim . Permit Conditions: % E� Review Site Pla Review .R�Releassed �1 r BUILDING Hold Reasons: Permit Conditions: ENGINEER Hold Reasons: Permit Conditions: HEALTHDISTRICT Hold Reasons: Permit Conditions: Permits: Plan Review Approach / Drainage Released By: d'". 4,37 Septic System Review Sewava .ystem d�,igt d for 3 bedrooms only. Released By: O\ Project Number: 01007103 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 8/22/2001 Page 2 of 2 Manufactured Home Contractor: WES CROSBY Firm: C H D INC Address: P 0 BOX 13717 Phone: (509) 926-5229 SPOKANE, WA 99213 Item Description INSPECTION FEE COUNTY SURCHARGE Payment Summary: Operator: RMB Permit Type Manufactured Home Notes: Units Unit Desc 2 SECTIONS 1 Y OR BLANK Printed By: RMB Fee Amount $100.00 $22.00 Permit Total Fees: $122.00 Print Date: 8/22/2001 Fee Amount Invoice Amount $122.00 $122.00 $122.00 $122.00 Amount Paid $0.00 Amount Owing $122.00 $0.00 $122.00 Rad. 50.00' Leng. 72.15' Chord 66.05' Delta 8240'25' Tang. 43.98' G Rad. 30.00' Leng. 47.26' Delta 9015'02' Chord 42.52' Tong. 30.13' 5' SETBACK LINE BOTTOM OF SWALE H Rad. 25.00' Leng. 25.21' Delta 5746'09' Chord 24.15' Tang. 13.79' SCALE: 1' = 30' DATE: 7/14/99 N895922"E 82.31' 127.44' ON R/W) 2' DEDICATED 1999 BROADWAY AVENUE TRACT C, BL CK L3 S -9L1-93 EXPIRES 06/27/00