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1997, 06-17 Permit App: 97004243 MHPROJECT NUMBER= 97004243 APPLICATION DATE= 06/17/97 PAGE= 01 PROJECT NUMBER= 97004243 APPLICATION DATE= 06/17/97 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT ---------------------------------------------------------------------------- SITE STREET= 19119 E MONTGOMERY AVE PARCEL#= 55082.1216 ADDRESS= OTIS ORCHARDS WA 99037 PERMIT USE= NEW DOUBLE WIDE MANUFACTURED HOME PLAT#= 000146 PLAT NAME= BARKER ROAD MOBILE HOMES 1ST A BLOCK= 11 LOT= 16 ZONE= UR -7 DIST#= G AREA= 00000000 F/A= A WIDTH= 69 DEPTH= 115 R/W= 50 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = OWNER= SIJER, THOMAS H SR PHONE= 509 226 1301 STREET= 3515 N STEVENSON RD ADDRESS= OTIS ORCHARDS WA 99037 CONTACT NAME= THOMAS SIJER PHONE NUMBER= 509 226 1301 BUILDING SETBACKS: FRONT= 62 LEFT= 6 RIGHT= 7.8 REAR= 26 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT BUILDING REVIEW REQUIREMENT ----------------------------------------- -------------------- SETBACK REVIEW REQUIRED COMMENTS: h.- le�� HEALTHD T E /OR ADDITIONAL COMMENTS: OZ 4h, A d Lt 2 TE WATER &Z f RQ -w/ n � ****************************** MOBILE HOME PERMIT ***************************** CONTRACTOR= OWNER PHONE= YR/MAKE= 1997 SKYLINE MODEL= SERIAL#= WIDTH= 27 LENGTH= 56 HEIGHT= 00 ITEM DESCRIPTION QUANTITY FEE AMOUNT ------------------------- -------- ---------- INSPECTION FEE 2 100.00 COUNTY SURCHARGE Y 22.00 STATE SURCHARGE Y 4.50 PERMIT TYPE --------------- MANUFACTURED HM FEE AMOUNT ------------- 126.50 ------------- 126.50 PROCESSED BY: JULIE SHATTO PRINTED BY: JULIE SHATTO AMOUNT PAID ------------ .00 ------------ .00 AMOUNT OWING ------------- 126.50 ------------- 126.50 i PROJECT NUMBER= 97004243 APPLICATION ' DATE= 06/17/97 PAGE= 02 ************************ THANK YOU *************************** 77-