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2001, 04-24 Permit App: 01002843 MHProject Number: 01002843 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/24/01 Page 1 of 2 Project Information: Permit Use: EXISTING (SINCE 1979) SINGLE WIDE MANUFACTURED HOME Setbacks: Front 20 Left: Right: 16 Rear: 26 Site Information: INNIMENSMOMIMMOWN Plat Key: 001407 Name: LABERRY MOBILE PARK ADD Contact: BEAUDOIN, R D & LA Address: 415 N HODGES RD C - S - Z: GREENACRES, WA 99016-9675 Phone: (509) 927-0364 Group Name: Project Name: District: G Parcel Number: 55173.2550 Block: 6 SiteAddress: 415 N HODGES RD GREENACRES, WA USA 99016 Location:: GRE Zoning: UR -7 Water District: Area: 7,475 Sq Ft Nbr of Bldgs: 1 Review Information: Urban Residential -7 Lot: 50 Owner: Name: BEAUDOIN, R D & LA Address: 415 N HODGES RD GREENACRES, WA 99016-9675 Hold: ❑ Width: 68 Depth: 116 Right Of Way (ft): 60 Nbr of Dwellings: 1 Department BUILDING Hold Reasons: t Conditions: Permits: Review Site Plan Review ISTRICT eptic System Re iew Hold Reasons: Permit Conditions: fix IST *X ©SsN Contractor: OWNER Address: 0 000000, 00 000000 Manufactured Home Firm: OWNER Phone: (000) 000-0000 Item Description Units Unit Desc INSPECTION FEE 1 SECTIONS COUNTY SURCHARGE 1 Y OR BLANK Permit Total Fees: Fee Amount $50.00 $11.00 $6 $61.00 Project Number: 01002843 Inv: 1 Application - THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary: Operator: JAS Permit Type Manufactured Home Date: 4/24/01 Page 2 of 2 Notes: Printed By: JAS Print Date: 4/24/01 Fee Amount Invoice Amount Amount Paid Amount Owing $61.00 $61.00 $61.00 $61.00 $0.00 $61.00 $0.00 $61.00 • This site plan is being submitted for thepurpras obtaining a building permit and is a true and correct representation of the proposal. All known property lines/dimensions, curb lines. structures and easements have been identified. Also indicated are wetlands, bodies of water, steep slops or her critical areas. . Signed: q- — 0 1\- ) \J"\ -