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1997, 02-21 Permit App: 97000912 Mfg HomePROJECT NUMBER= 97000912 APPLICATION DATE= 02/21/97 PAGE= 01 PROJECT NUMBER= 97000912 APPLICATION DATE= 02/21/97 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT ---------------------------------------------------------------------------- SITE STREET= 15809 E 4TH AVE ADDRESS= VERADALE WA 99037 PARCEL#= 45242.0641 PERMIT USE= NEW DOUBLE WIDE MANUFACTURED HOME PLAT#= 005538 PLAT NAME= SP -830-93 BLOCK= LOT= ZONE= UR -3.5 DIST#= F AREA= 00000000 F/A= F WIDTH= 1050 DEPTH= 1050 R/W=�� # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = VERA OWNER= LUSE, EUGENE & EVELYN PHONE= STREET= 203 S BELL ST ADDRESS= GREENACRES WA 99016 CONTACT NAME= TED ARNOLD - NORTHWEST HOMES PHONE NUMBER= 509 924 0722 BUILDING SETBACKS: FRONT= 40 LEFT= 15 RIGHT= 24 REAR= 38 ****************************** REVIEW INFORMATION **************************** DEPARTMENT REVIEW REQUIREMENT ---------- --------------------------------- ---- -__-j ---- - ---------- f I BUILDING SETBACK REVIEW REQUIRED COMMENTS: ENGINEER APPROACH/ DRAINAGE/ FLOOD COMMENTS: HEALTHDIST NEW OR ADDITIONAL WASTE WATER -It COMMENTS: C) /C- ****************************** MOBILE HOME PERMIT ***************************** CONTRACTOR= OWNER PHONE= YR/MAKE= 1997 PALM HARBOR MODEL= SERIAL#= WIDTH= 27 LENGTH= 64 HEIGHT= 00 ITEM DESCRIPTION QUANTITY FEE AMOUNT ------------------------- -------- ---------- INSPECTION FEE 2 100.00 STATE SURCHARGE Y 4.50 COUNTY SURCHARGE Y 22.00 IMPACT FEE= CV 750 750.00 PROJECT NUMBER= 97000912 APPLICATION DATE= 02/21/97 PAGE= 02 PERMIT TYPE --------------- MANUFACTURED HM FEE AMOUNT ------------- 876.50 ------------- 876.50 PROCESSED BY: JULIE SHATTO PRINTED BY: JULIE SHATTO AMOUNT PAID ------------ .00 ------------ .00 AMOUNT OWING ------------- 876.50 ------------- 876.50 ******************* THANK YOU ****************** ����/� |8- --- ye� ����m ____-___-_-__ _ ������ � - �� \ zc | 6/� � ^�^�' - ' ^'c'� ' \ -- | \ /' } | ��\ | \ \ \ ,, -_� . \ � . �'\� ' ` � ��- `` � �` ' � �' `` � 'f' � �� , \ � \ \ ' ' -- ^ // ` ' ' /~ \ '?o''/�rx�rs� ___� __ �^/�� �� \ � — ----f\ --'-- i -----------�--'7'-- Y \ � _- _ '--- __ ___-_ // ' // \ / \ / \ - \ \ // \ ~~� �/ \ ' , �` \4,� ^ '- VU | ^/ '' | // � /__ | ~« � ��| ` \ � `' � | . - . � ` \ ` ` ! � / . ` } `� ` � /�� ' \ / \ �* ^~ \ �� _ ° �^ ' \ [)T� / �'/ . / � ���. ~'~� _�`^ _�. - - `ouc v -