1993, 07-16 Permit App 93005928 MHPROJECT NUMBER= 93005928 APPLICATION DATE= 07/16/93 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 219 N FLORA RD PARCEL#= 45134.0905
ADDRESS= GREENACRES WA 99016
PERMIT USE= INSTALL DOUBLE WIDE MOBILE HOME
PLAT#= 002756 PLAT NAME= VERA
BLOCK= 9 LOT= ZONE= UR 3.5 DIST#= G
AREA= 00000000 F/A= F WIDTH= 1510 DEPTH= 2120 R/W= 60
# OF BLDGS= # DWELLINGS= 1 WATER DIST = VERA
OWNER= MAJERUS, FRANK
STREET= POB 221p
ADDRESS= GREENACRES WA 99016
PHONE= 509 928 2842
CONTACT NAME= FRANK MAJERUS PHONE NUMBER= 509 928 2842
BUILDING SETBACKS: FRONT= 81 LEFT= 67 RIGHT= 60 REAR= 81
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
HEALTHDIST NEW OR ADDITIONAL WASTE WATER
COMMENTS:
PLANNING INADEQUATE ROAD FRONTAGE
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**********,*****4**
CONTRACTOR= OWNER
YR/MAKE= 1993 NASHUA MODEL=
SERIAL#=
ITEM DESCRIPTION
:ham r 4 414614-( 44,-( .1.
7 PHONE=
WIDTH= 24 LENGTH= 50 HEIGHT= 10
INSPECTION FEE
STATE SURCHARGE
COUNTY SURCHARGE
PERMIT TYPE
QUANTITY FEE AMOUNT
2 100.00
Y 4.50
Y 18.00
FEE AMOUNT AMOUNT PAID AMOUNT OWING
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PROJECT NUMBER= 93005928 APPLICATION DATE= 07/16/93 PAGE= 02
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
MOBILE HOME PMT 122.50 .00 122.50
122.50
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
.00 122.50
******************************** THANK YOU ************************************
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ADDRESS:
ZONE:
ROAD WIDTH: FLANKING:
FRONT:'
COMMENTS:'
REVIEWED BY:
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SPECIFI
TYPE OF SEWAGE SYSTEM:
LINEAL OR SOUARE FOOTAGE:
TRENCH WIDTH: E,;�
DEPTH FROM ORI^.:!^JAL GROU`dD SURFACE TO BOTTOM
OF SEWAGSYSTEPA
ATIONS
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SIGNATUR
�C _DATE; 7 / T 7
IF YOU CANNOT INSTA!i TP!Q SYST o bCCOR9!N"
TO THIS APPROVED PLAN. YOU ' DA'.'t THE OFFICE
AT 3241560 PRIOR TO INSTALLATION.
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