1987, 09-26 Permit 00013316 MH for StorageSIGNATURE OF
OWNER OR AGENT
JOB ADDRESS
OWNER:
COURCHAINE ; JAYN G
ADDRESS:
17205 E. CATALDO A`•:'
CITY: ST: ZIP:
CREENACRES WA 99016
A P►LIC ANT:
COURCHAINE, JAYN G
CONTRACTOR:
COURCHAINE, JAYN G
ADDRESS:
17205 E CATALDO AV
CITY: sT: ZIP:
GREENACRES WA 99016
PM: LICENSE*:
ARCM/ENGINEER:
ADDRESS:
CITY: ST: ZIP:
PARCEL*
185522332
CENSUS TR:
399900
INSPECTOR:
PLAT*:
00254500
LOT & BLOCK
002 018
FINAL
PLAT NAME:
BA ON' S ADD TO GREENACR E
ZONE*:
ZO�N^[
9 CR 1.
FS■
S - 1
5 - 2
RSO
MOD
G
21 MOBILE HOME FOR STOI".AGE
USE OF PERMIT:
JOS 5 17205E CATALDO Ali
STRUCTURAL
Building Code Fee
BUILDING
PRIMARY STRUCTURE_;
SECONDARY STRUCTURES;
APPLICATION
DATE
PROJECT#
scO. #:
t� 04810
DATc:
09/26/.
3 Yi3 16
..T.i...DING $20 , 00
Y ui:Ld incl Cock Fee $1 , 50
FCEs:
:21 . 50
RAMON':
CA
CK
CG
NC
rr
COVNTCR APP: //%„
PLANS EXAM:
DATC:
TOTAL FEE
TOTAL 1= E E
Permit Fee
e
=b1 , 50
$ 2 0 , 0 i
'11'
.00
09-26-06 531,7*21,50
OFFICE COPY