1997, 10-07 Permit App: 97008166 MH, Deck CoverPROJECT NUMBER= 97008166 APPLICATION
PROJECT NUMBER= 97008166 APPLICATION
DATE= 10/07/97
DATE= 10/07/97
PAGE= 01
PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 2409 S EVERGREEN RD PARCEL#= 45263.0101
ADDRESS= VERADALE WA 99037
PERMIT USE= PARK MODEL MOBILE TEMP, FOR 1 YEAR & COV DECK FOR DUPLEX PURPOS
PLAT#= 002748 PLAT NAME= VERA
BLOCK= LOT= ZONE= UR 3.5 DIST4= F
AREA= F/A= A WIDTH= 200 DEPTH= 220 R/W= 50
# OF BLDGS= # DWELLINGS= 1 WATER DIST =
OWNER= CLEGBORN, SHARON & LEE
STREET= 2409 S EVERGREEN RD
ADDRESS= VERADALE WA 99037
CONTACT NAME= LEE & SHARONCLEGBORN
PHONE= 509 891 9535
PHONE NUMBER=
BUILDING SETBACKS: FRONT= 66 LEFT= NA RIGHT= 30 REAR= 28
****************************** REVIEW INFORMATION ******+:+***+**+******+****+*
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
******************************* BUILDING PERMIT *********++********************
CONTRACTOR= OWNER
PHONE=
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 12 STORIES= 1
BLDG W X D = X SQ FT= 400 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
COV DECK R-3 VN 400 3600.00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 88.00
RESIDENTIAL SURCHARGE Y 19.36
STATE SURCHARGE Y 4.50
PROJECT NUMBER= 97008166 APPLICATION DATE= 10/07/97 PAGE= 02
****************************** MOBILE HOME PERMIT +**++**
CONTRACTOR= OWNER PHONE=
YR/MAKE= 1997 WILDERNESS MODEL=
SERIAL#= WIDTH= 08 LENGTH= 39 HEIGHT= 10
ITEM DESCRIPTION
INSPECTION FEE
PERMIT TYPE
QUANTITY FEE AMOUNT
1 50.00
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 111.86 .00 111.86
MANUFACTURED HM 50.00 .00 50.00
161.86
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
.00 161.86
******************************** THANK YOU ************************************
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COMMENTS:
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