1996, 06-28 Permit App: 96005039 MHPROJECT NUMBER= 96005039 APPLICATION •
******
DATE= 06/28/96 PAGE= 01
THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 18214 E SPRAGUE AVE PARCEL#= 55191.0401
ADDRESS= GREENACRES WA 99016
PERMIT USE= SINGLE WIDE MOBILE HOME
PLAT#= 005807 PLAT NAME= P-1054-96
BLOCK= LOT= *ZONE= UR -3.5 DIST#= G
AREA= 00012822 F/A= F WIDTH= 115 DEPTH= 115 R/W= 60
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
PHONE= 509 924 6035
OWNER= PRICE, DOROTHY
STREET= 18212 E SPRAGUE AVE
ADDRESS= GREENACRES WA 99016
CONTACT NAME= DOROTHY PRICE/JAMES HERLIN PHONE NUMBER= 509 924 6035
BUILDING SETBACKS: FRONT= 25 LEFT= 25 RIGHT= 25 REAR= 10+
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING L & I ALTERATION PERMIT.
COMMENTS:
BUILDING SETBACK REVIEW REQUIRED
APPROVAL: C. FRAZIER DATE: 06/28/96
ENGINEER APPROACH/ DRAINAGE/ FLOOD
COMMENTS:
HEALTHDIST NEW OR ADDITIONAL WASTE WATER
COMMENTS:
PLANNING LAND USE ACTION REQ'D/INVOLVED
iJSr I 05" Li 6
COMMENTS : Dnw-A,0641 ,� (rec.?) 4,64,e7/306)
A review is required by Labor and Industries for
the following in relation to a manufactured home:
4 ( XcA--1c Tzr._-h'on
L & I permit # (0602 - Date G '2-4g tC
Reviewer
PROJECT NUMBER= 96005039 APPLICATrON DATE= 06/28/96 PAGE= 02
****************************** MOBILE HOME PERMIT****,r******,r*****,r***********
CONTRACTOR= OWNER PHONE=
YR/MAKE= 1982 LIBERTY MODEL=
SERIAL#= WIDTH= 14 LENGTH= 54 HEIGHT= 10
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
INSPECTION FEE 1 50.00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 11.00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MANUFACTURED HM 65.50 .00 65.50
65.50
.00 65.50
*******************************************************************************
* PROJECT NOTE: TOPIC = CONDITIONS DEPT = BUILDING
*******************************************************************************
*
LABOR & INDUSTRIES ALTERATION PERMIT REQUIREMENTS MUST BE
MET PRIOR TO OCCUPANCY OF MOBILE HOME.
PROCESSED BY: CAROL FRAZIER
PRINTED BY: CAROL FRAZIER
******************************** THANK YOU ************************************
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NOTES
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nod No.
9140