1986, 03-24 Permit 00010152 MHIGNATURE OF
IWNER OR AGENT
1703 N FLORA RD
IWNER:
Ci i :E`t Iwi CHANDLER
,
.ODRESS:
1703 N i'i._Ol A RD
:IrY: ST: ZIP:
t:JRFF.iFF.Nf;CF ES W A cyr:1016
\PPLICANT:
i:'AR E Y M CHANxal...l:::R
:ONTRACTOR:
CARE Y M CHAND1 F R
ADDRESS:
1703 N FLORA RD
:Fr-ST: ZIP:
GREENACRES WA 99016
PH: LICENSE*:
509-926....'/07.i
ARCH/ENGINEER:
ADDRESS:
C.TY: ST: ZIP:
PARCEL*:
CENSUS TR:
INSPECTOR:
PLAT*:
0D254400
LOT & BLOCK
004 0'!
FINAL
PLAT NAME:
122544
ZONE*:
ZONE
AC',Ri:
F5B
000
5-1
000
5-2
003
RSB
OU0
MOO
,..
21 STORAGE (0X45) VkV T4'4.LeR
USE OF PERMIT:
JOB ADDRESS:
1703 N FLORA RI)
APPLICATION3_az/ e
DATE YY
PROJECT #
SEQ. *:
0011187
I
DATE:
03/24/86
00010152
MOBILE
.1 ff
HOME 5 1 .`1
FEES:
$51 . `-,0
PAID BY:
CA
CK
CG
NC
COUNTER APP:
/
te
PLANS EXAM:
GATE:
MCIB1:L..E: HOME PERMIT
MOBILE HOMES
Make Serial li•
Number 1 Width 08 L.er4t:ith 45 Height 10
Mi.5>c: Desc: : SURCHARGE
TOTAL. FEE
Fee
Mist Fee
:i'> 5 .! . 5 C
50.00
1.50
03-24-86 1248z *51.506
OFFICE COPY