2001, 11-26 Permit App: 01010365 MHProject Number: 01010365
Inv: 1
Application
Date: 11/26/01 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
suesessonneessierarnr
Permit Use: DOUBLE WIDE MOBILE HOME
Setbacks: Front 30 Left: 15 Right: 5 Rear: 24+
Site Information:
Plat Key: 000498 Name: CORBIN ADD TO GREENACRES
Contact: ORR, EDWIN R
Address: 608 N GREENACRES RD
C - S - Z: GREENACRES, WA 99016-9536
Phone: (509) 924-4723
Group Name:
Project Name:
District: G
Parcel Number: 55184.1007
Block: 10 Lot: 9
SiteAddress: 702 N GREENACRES RD
GREENACRES, WA USA 9901
Location:: GRE
Zoning: UR -3.5
Water District:
Area: 14,000 Sq Ft
Nbr of Bldgs: 1
Urban Residential 3.5
Owner: Name: ORR, EDWIN R
Address: 608 N GREENACRES RD
GREENACRES, WA 99016-9536
Hold: ❑
Width: 100 Depth: 160 Right Of Way (ft): 50
Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan
Septic System Review
Permits:
Operator: CKF Printed By:
Print Date:
Project Number: 01010365 Inv: 1
1 ,
'Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/26/01 Page 2 of 2
Manufactured Home
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000) 000-0000
000000, 00 000000
Item Description
INSPECTION FEE
COUNTY SURCHARGE
Units Unit Desc
2 SECTIONS
1 Y OR BLANK
Permit Total Fees:
Fee Amount
$100.00
$22.00
$122.00
Notes
Payment Summary:
Permit Type
Manufactured Home
Fee Amount Invoice Amount Amount Paid Amount Owing
$122.00 $122.00 $0.00 $122.00
$122.00 $122.00 $0.00 $122.00
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be contrued to be a permit for, or an approval of, any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: CKF Printed By: Print Date:
Project Number: 01010365 Inv: 1
•
Application
Date: 11/26/01 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: DOUBLE WIDE MOBILE HOME
Setbacks: Front 30
Site Information:
Contact: ORR, EDWIN R
Address: 608 N GREENACRES RD
C - S - Z: GREENACRES, WA 99016-9536
Left: 15 Right: 5 Rear: 24+ Phone: (509) 924-4723
Group Name:
Project Name:
Plat Key: 000498 Name: CORBIN ADD TO GREENACRES District: G
Parcel Number: 55184.1007 Block: 10
SiteAddress: 702 N GREENACRES RD
GREENACRES, WA USA 9901
Location:: GRE
Zoning: UR -3.5
Water District:
Area: 14,000 Sq Ft
Urban Residential 3.5
Lot: 9
Owner: Name: ORR, EDWIN R
Address: 608 N GREENACRES RD
GREENACRES, WA 99016-9536
Hold: ❑
Width: 100 Depth: 160 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Site Plan Review
Plan Review
Septic System Review
&Avow systc:r4 cL iqr j
bedrooras
Permits:
Operator: CKF
Released By:
Released By:
Printed By: Print Date: