2000, 04-17 Permit App: 00002742 MHProject Number: 00002742 Inv: 1
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Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 04/17/2000 Page 1 of 2
Proiect Information:
Permit Use: PLACEMENT OF DOUBLEWIDE MOBILE HOME Contact: COTANT, LARRY J & KAY F
Address: 510 N HODGES RD
Setbacks: Front 30 Left: 30 Right: 8 Rear: 38
Site Information:
C - S - Z: GREENACRES, WA 99016-8600
Phone: (509) 926-5998
Group Name:
Project Name:
Plat Key: MH002 Name: LA BERRY MOBILE PARK
District: G
Parcel Number: 55173.2403 Block: 5
SiteAddress: 510 N HODGES RD
GREENACRES, WA USA 99
Location:: GRE
Zoning: UR -7 Urban Residential -7
Water District:
Lot: 3
Owner: Name: COTANT, LARRY J & KAY F
Address: 510 N HODGES RD
GREENACRES, WA 99016-8600
Hold: ❑
Area: 7,800 Sq Ft Width: 65 Depth: 120 Right Of Way (ft): 60
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:�w,A�
Department
BUILDING
Hold Reasons:
Permit Conditions:
BUILDING
Hold Reasons:
Permit Conditions:
HEALTHDISTRICT
Hold Reasons:
Permit Conditions:
Permits:
Review
Site Plan Review
By:
Plan Review
Septic System Review
By:
Sewage system ca neck
far Z bedrooms only
Contractor: OWNER
Address: 0
000000, 00 000000
Item Description
INSPECTION FEE
COUNTY SURCHARGE
Manufactured Home
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
2 SECTIONS
1 Y OR BLANK
Fee Amount
$100.00
$22.00
Permit Total Fees: $122.00
Project Number: 00002742 Inv: 1
Application
Date: 04/17/2000 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary: :.��."2/47.01M M%4:" .. �:am.:aw,,wa:.„u;:x�,amnw«.,;:, t. www° . .r,:. -.,•rte,
Operator: DMD
Permit Type
Manufactured Home
Notes:
Printed By: DMD Print Date: 04/17/2000
Fee Amount Invoice Amount Amount Paid Amount Owing
$122.00 $122.00
$122.00
$122.00
$0.00 $122.00
$0.00
$122.00
This site plan is being submitted for the purpose of '-
obtaining a building permit and is a true and correct
representation of the proposal. All known property
lines/dime • ' ' • • • are wetlands, -
h.. ebe :- -
b• • es of water, steep sloes or other critical areas.
Si ned:
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ADDRESS: 60 At iod
' 1IIDTH: CDD
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'�'T'• __FLANKING:
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