1999, 08-13 Permit App: 99007483 MHProject Number: 99007483 Inv: 1
• Application
Date: 8/13/99 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: NEW TRIPLE WIDE MANUFACTURED HOME
Setbacks: Front NA Left: NA Right: 20 Rear: 40
Site Information:
Plat Key: 005545 Name: SP -941-93 �(l /�-Z y���, , , \ District: F
Parcel Number: 5182.2538
Contact: NAT DODSON
Address:
C - S - Z
Phone: (509) 928-8195
SiteAddress: 810 N COACH LN Owner: Name: I3URCH, GEORGE
GREENACRES, WA USA 99 Address: 833 S 195TH ST
Location:: GRE DES MOINES WA 98148
Zoning: UR 3.5
Water District: 008 CONSOLIDATED IRRG #1 Hold: ❑
Area: 80,800 Sq Ft Width: 255 Depth: 361 Right Of Way (ft): 50
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Department
BUILDING
Comments:
Review
Site Plan Review
BUILDING Plan Review
Comments: V — / 3
HEALTHDISTRICT Septic System Review
Comments:
ENGINEER Approach / Drainage
Comments:
PLANNING
Comments:
Permits:
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Project Number: 99007483 Inv: 1
e l
•
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/13/99 Page 2 of 2
Manufactured Home
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000) 000-0000
000000, 00 000000
Item Description Units Unit Desc
STATE SURCHARGE 1 Y OR BLANK
INSPECTION FEE 3 SECTIONS
COUNTY SURCHARGE 1 Y OR BLANK
Fee Amount
$4.50
$150.00
$33.00
Permit Total Fees: $187.50
Operator: JAS Printed By: JAS Print Date: 8/13/99
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Manufactured Home $187.50 $187.50 $0.00 $187.50
$187.50 $187.50 $0.00
$187.50
0 -
•. •
•
P/V-
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