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/)
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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 ************************************
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