1994, 08-31 Permit App: 94008483 MH PROJECT NUMBER= 94008483 APPLICATION DATE= 08/31/94 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 503 S STEEN RD PARCEL#= 45241. 9066
ADDRESS= VERADALE WA 99037
PERMIT USE= DOUBLE WIDE MOBILE HOME REPLACEMENT
PLAT#= 999999 PLAT NAME= RANGE
BLOCK= LOT= ZONE= UR-3.5 DIST#= F
AREA= 00000000 F/A= F WIDTH= 200 DEPTH= 200 R/W= 1(0
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= STRALKA, SUSANNE C y-t PHONE= 509 924 2376
STREET= 503 S d9lH L1NI RD 5/VP4
ADDRESS= VERADALE WA 99037
CONTACT NAME= SUSANNE STRALKA PHONE NUMBER= 509 924 2376
BUILDING SETBACKS: FRONT= 35 LEFT= 38 RIGHT= 70 REAR= 49
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED 1.04./Ir
COMMENTS: Ts-- 31 r c
HEALTHDIST INCREASE IN LOT COVERAGE
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COMMENTS: � ,. � lc �.--�-L.L e ,` � � /7/4
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****************************** MO E HOME PERMIT *****************************
CONTRACTOR= OWNER PHONE=
YR/MAKE= 94/SILVERCREST MODEL=
SERIAL#= WIDTH= 26 LENGTH= 44 HEIGHT= 10
ITEM DESCRIPTION QUANTITY FEE AMOUNT
INSPECTION FEE 2 100. 00
STATE SURCHARGE Y 4 .50
COUNTY SURCHARGE Y 18 . 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MANUFACTURED HM 122.50 .00 122 .50
122 .50 .00 122 .50
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
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PROJECT NUMBER= 94008483 APPLICATION DATE= 08/31/94 PAGE= 02
******************************** THANK YOU ************************************
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