1994, 12-07 Permit App 94012053 Triple Widei 1
PROJECT NUMBER= 94012053 APPLICATION DATE= 12/07/94 PAGE= 01
1
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****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 17505 E INDIANA AVE PARCEL#= 55073.0818
ADDRESS= GREENACRES WA 99016
PERMIT USE= PLACEMENT OF TRIPLE WIDE
PLAT#= 002044 PLAT NAME= PLAT"A" GREENACRES IRR.DISTRIC
BLOCK= LOT= ZONE= UR-3.5 DIST#= G
AREA= 00000000 F/A= A WIDTH= 76 DEPTH= 51 R/W= 40
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = CONSOLIDATED IRRG #1
OWNER= WHITE, BRAD & JACKIE
STREET= 17505 E INDIANA AVE
ADDRESS= GREENACRES WA 99016
PHONE= 509 926 3324
CONTACT NAME= JACKIE WHITE PHONE NUMBER= 509 926 3324
BUILDING SETBACKS: FRONT= 175 LEFT= 200 RIGHT= 10 REAR= 400+
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
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HEALTHDIST NEW OR ADDITIONAL WASTE WATER .Qlz Ors^---
'14-6c M oc, 44r^ ^ //e0,L'/°Li/-A)"
COMMENTS:
****************************** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER PHONE=
YR/MAKE= 1995 MODEL= REDMAN
SERIAL#=
WIDTH= 42 LENGTH= 56 HEIGHT= 12
ITEM DESCRIPTION
INSPECTION FEE
STATE SURCHARGE
COUNTY SURCHARGE
PERMIT TYPE
QUANTITY FEE AMOUNT
3 150.00
Y 4.50
Y 27.00
FEE AMOUNT AMOUNT PAID AMOUNT OWING
MANUFACTURED HM 181.50 .00 181.50
181.50
PROCESSED BY: DAWN DOMPIER
PRINTED BY: DAWN DOMPIER
.00 181.50
PROJECT NUMBER= 94012053 APPLICATION DATE= 12/07/94 PAGE= 02
******************************** THANK YOU ************************************
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ORIGINAL SITE PLAN
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Site address:
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