1993, 08-04 Permit App: 93006630 MH 12 eR7214
4
PROJECT NUMBER= 93006630 ' APPLICATION DATE= 08/04/93 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 4210 E 1ST ST PARCEL#= 37221.0202
ADDRESS= COLBERT WA 99005
PERMIT USE= SINGLE WIDE MOBILE HOME
PLAT#= 000555 PLAT NAME= CROSS' ADD TO COLBERT
BLOCK= 2 LOT= -2-ZONE= SRR-5 DIST#= B
AREA= F/A= F WIDTH= DEPTH= R/W= 60
# OF BLDGS= 1 # DWELLINGS= 10 WATER DIST =
OWNER= EBY, ELMER PHONE= 509 238 4581
STREET= 4210 E 1ST ST
ADDRESS= COLBERT WA 99005
CONTACT NAME= ELMBER EBY PHONE NUMBER= 509 238 4581
BUILDING SETBACKS: FRONT= 35 LEFT= 5 RIGHT= 5 REAR= 192
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED " (IC\ //AA( p/JLOW .
COMMENTS:
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EN9EN5yER NEW COUNTY ROAD APPROACHie ' .,.
O FONTS _ �� -!.-17!‘
71111
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HEALTHDIST �.NEW OR ADDITI64AL WASTE WATER/ dii/WIL-47
COMMENTS: LAI 0
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER PHONE=
YR/MAKE= 82/CLIFTON MODEL=
SERIAL#= WIDTH= 14 LENGTH= 70 HEIGHT= 10
ITEM DESCRIPTION QUANTITY FEE AMOUNT
INSPECTION FEE 1 50. 00
STATE SURCHARGE Y 4 .50
COUNTY SURCHARGE Y 9. 00
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
PROJECT NUMBER= 93006630 APPLICATION DATE= 08/04/93 PAGE= 02
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PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
MOBILE HOME PMT 63.50 . 00 63.50
63.50 . 00 63.50
PROCESSED BY: BURRIS, ROBIN
PRINTED BY: BURRIS, ROBIN
******************************** THANK YOU ************************************
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