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2000, 04-19 Permit App: 00002875 MHProject Number: 00002875 Inv: 1 Application Date: 04/19/2000 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 Left: 19 Right: 5 Rear: 30+ Site Information: Plat Key: 005236 Name: ARMSTRONG ESTATES Contact: ROBERTS CONSTRUCTION Address: 6394 FELTON RD C - S - Z: NINE MILE FALLS, WA 99026 Phone: (509) 276-5387 Group Name: Project Name: District: F Parcel Number: 45134.2322 Block: 2 Lot: 22 SiteAddress: 16613 E MAIN AVE Owner: Name: HERSTEIN, GLENN VERADALE, WA USA 9903 Address: 17084 VIA ANOTA Location:: VER SAN LORENCO, CA 94580 Zoning: UR -3.5 Water District: Urban Residential 3.5 Hold: ❑ Area: 11,873 Sq Ft Width: 85 Depth: 140 Right Of Way (ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Department BUILDING Hold Reasons: Permit Conditions: Review Site Plan Review By: 61 711 LVZ.l q • 1 a � BUILDING Plan Review, Hold Reasons: •1 (;V. n Permit Conditions: By: btu. C ai c oi ENGINEER Approach / Drainage Hold Reasons: Permit Conditions: OO FA/A.2-0 UTILITIES Holddasons: Permits: Sewer Review BY:/�- c /c By: Fore sw..61 -- 00 lQl� Permit Conditions: OK _© 155 u E- 5F -t -4.)E - R' • Project Number: 00002875 Inv: 1 Application Date: 04/19/2000 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Manufactured Home Contractor: ROBERTS CONSTRUCTION Firm: WILLARD ROBERTS CONSTRUC Address: 6394 FELTON RD Phone: (509) 276-3109 DEER PARK, WA 99026 Item Description Units Unit Desc Fee Amount INSPECTION FEE 2 SECTIONS $100.00 COUNTY SURCHARGE 1 Y OR BLANK $22.00 Permit Total Fees: $122.00 Payment Summary: Operator: CKF Printed By: CKF Print Date: 04/19/2000 Permit Type Manufactured Home Fee Amount Invoice Amount Amount Paid Amount Owing $122.00 $122.00 $122.00 $122.00 $0.00 $122.00 Notes: BUILDINGS RESTRICTED TO 14 UNITS UNTIL PROPOSAL IS CONNECTED TO PUBLIC SEWER. BUILDING SETBACKS SHALL BE MEASURED 25 FEET FROM THE EDGE OF THE RESERVED FUTURE AQUISITION AREA. $0.00 $122.00 In a 0 N ttl w 3"111/'1 3N1t' A ti rT\ ADDRESS 1 I p Co i 3 MCL,) ZONE UA 3 5 ROAD WIDTH 50 FRONTFLANKING COMMENTS REVIEWED PA' G i Dry' This ste 'ar. is being submitted for the purpose of obtaining a building permit and is a true and correct representation of the proposal. All known property Iines/dimensions, curb lines. structures and easements have been identified. Also indicated are wetlands, bodies of water, steep slopes or other critical areas. Signed: Date: (C)