1984, 10-12 Permit 00002816 Double WideSIGNATURE OF APPLICATION
OWNER OR AGENT DATE
JOD ADDRESS:
18413 E COWLEY ST
O VNER:
ELIASON, DAVID H
ADDRESS:
18413 E COWLEY ST
CITY: ST: zIP:
GREENACRES WA 99016-0000
APPLICANT:
ELIASON, DAVID H
CONTRACTOR:
ADDRESS:
CITY: ST: ZIP:
PH: LICENSE*:
ARCH/ENGINEER:
ADDRESS:
CITY: ST: ZIP:
PARCEL*:
185540908
CENSUS TR:
0999
INSPECTOR:
PLAT*:
002545
LOT & BLOCK
002 009
FINAL
PLAT NAMC:
CORBIN ADD TO GREEN ACRES
ZOP!C3':
ZONE
AGRI
FSB
037
5 - 1
005
5 - 2
000
RSB
000
MOD
VSC OF PERMIT:
REPLACE SINGLE WIDE TO DOUBLE
JOD
ADDRESS: 18413E COWLEY ST
MOBILE
M/H PLACEMENT
Site
Number 1 W 12 L 56 H 10
Number 2 W 12 L 56 H 10
SEC, SC:
0002944
DATE:
10/12/84
PROJ*:
00002816
Mobile Home Install. Fee $100..00
PEGS: i)..yO , oo
PAID BY: ICA
CK
X
CG
NC
C OU NT CR AP -
PLANS EXAM:
DATE:
10/ 12/82
HOME' IJERMIT
TOTAL FEES $1 0 0 . 0 0
Zip -00000
OFFICE COPY
V
10-12-84 76105 *100,nn6