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1994, 07-21 Permit App: 94006848 MH
PROJECT NUMBER= 94006848 APPLICATION - DATE= 07/21/94 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 17209 E 5TH AVE PARCEL#= 55192.1611 ADDRESS= GREENACRES WA 99016 PERMIT USE= DOUBLE WIDE MOBILE HOME (REPLACEMENT) PLAT#= 000078 PLAT NAME= APPLE VALLEY ESTATES 2ND ADD. BLOCK= 1 LOT= 11 ZONE= UR -7 DIST#= G AREA= 00000000 F/A= F WIDTH= 71 DEPTH= 125 R/W= 50 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = OWNER= DOYLE, RODNEY E STREET= 17209 E 5TH AVE ADDRESS= GREENACRES WA 99016 PHONE= 509 926 6097 CONTACT NAME= RODNEY DOYLE PHONE NUMBER= 509 926 6097 BUILDING SETBACKS: FRONT= 30 LEFT= 5 RIGHT= 5 REAR= 15 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING SETBACK REVIEWREQUIREDJ�. ►1ct7"1- Q‘f COMMENTS: ****************************** MOBILE HOME PERMIT ***************************** CONTRACTOR= OWNER PHONE= YR/MAKE= 94/CHASE MORE MODEL= SERIAL#= WIDTH= 28 LENGTH= 63 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 PROCESSED BY: BURRIS, ROBIN PRINTED BY: BURRIS, ROBIN .00 122.50 ******************************** THANK YOU ************************************ 30' Feom0t4T r/l. 5 FA:.pticki sid4. P/t.: ADDRESS: ZONE: " ROAD WIDTH: '50 FRONT. 30 .OMMENt, REVIEWED $Y