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1994, 03-04 Permit App: 94001711 MH PROJECT NUMBER= 94001711 APPLICATION DATE= 03/04/94 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 17402 E 4TH AVE PARCEL#= 55192 . 1409 ADDRESS= GREENACRES WA 99016 PERMIT USE= DOUBLE WIDE MOBILE HOME (EXISTING) PLAT#= 000077 PLAT NAME= APPLE VALLEY ESTATES 1ST ADD. BLOCK= 3 LOT= 9 ZONE= RMH DIST#= G AREA= F/A= F WIDTH= 71 DEPTH= 120 R/W= 50 # OF BLDGS= 2 # DWELLINGS= 1 WATER DIST = OWNER= NESBETT, MONTE PHONE= 509 924 4585 STREET= 17402 E 4TH AVE ADDRESS= GREENACRES WA 99016 CONTACT NAME= DONNA RAE NESBITT PHONE NUMBER= 509 924 4585 BUILDING SETBACKS: FRONT= 30 LEFT= EXIS RIGHT= 6 REAR= 28 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING SETBACK REVIEW REQUIRED OK Tee• s i r AN COMMENTS: ( . _w me I - 'i -94 zmi#44/) /��°�/ HEALTHDIST INCREASE IN LOT COVERAGE �/S,r �C%� COMMENTS: ****************************** MOBILE HOME PERMIT ***************************** CONTRACTOR= OWNER PHONE= YR/MAKE= 79/SANDP MODEL= SERIAL#= WIDTH= 24 LENGTH= 56 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 i PROJECT NUMBER= 94001711 APPLICATION DATE= 03/04/94 PAGE= 02 ******************************** THANK YOU ************************************ *` gyv „T /",! 1zF t! ?14/-« eS-. srfEEr No _ E1I ATE SCALE___ _ •• h` � ' / L / y � J • • . i _ tl ■ { . / 1 ///. l✓ f n j . b �� 0 i 1,21)i) i : ; : • O • 1: • r • 1 t� • q /'I Y • `r/ Y . ,Ail M3V13H • . • _.ON INV 1A :H 0'' �,, la�f.t, +�y 3Z. ''�-: tom L� • Li • FOFlM 204 AvaIL 0ble from NC Ci S' INC Townsend.Mass 01470 ^ r"' __.J