1995, 09-26 Permit App 95007739 MHPROJECT NUMBER= 95007739 APPLICATION DATE= 09/26/95 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 17318 E 4TH AVE PARCEL#= 55192.1407
ADDRESS= GREENACRES WA 99016
PERMIT USE= DOUBLE WIDE MOBILE HOME (REPLACEMENT)
PLAT#= 000077 PLAT NAME= APPLE VALLEY ESTATES 1ST ADD.
BLOCK= 3 LOT= 7 ZONE= UR-7 DIST#= G
AREA= F/A= F WIDTH= 71 DEPTH= 120 R/W= 50
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= ENDRES, MARLENE
STREET= 17318 E 4TH AVE
ADDRESS= GREENACRES WA 99016
PHONE= 509 891 8734
CONTACT NAME= DAVID BOYCE PHONE NUMBER= 509 535 8881
BUILDING SETBACKS: FRONT= 38 LEFT= 35 RIGHT= 10 REAR= 38
****************************** REVIEW INFORMATION *****************************
DEPARTMENT
REVIEW REQUIREMENT
BUILDING SETBACK REVIEW REQUIRED
COMMENTS:
HEALTHDIST INCRE•� IN LOT COVERAGE
COMMENTS*
+04, 1 l3 l
*****************;*********** MOBILE HOME PERMIT *****************************
CONTRACTOR= OWNER
YR/MAKE= 1995 FLEETWOOD MODEL=
SERIAL#=
ITEM DESCRIPTION
PHONE=
WIDTH= 26 LENGTH= 44 HEIGHT= 10
QUANTITY FEE AMOUNT
INSPECTION FEE 2 100.00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 19.00
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
MANUFACTURED HM 123.50 .00 123.50
123.50
PROCESSED BY: CAROL FRAZIER
PRINTED BY: CAROL FRAZIER
.00 123.50
PROJECT NUMBER= 95007739 APPLICATION DATE= 09/26/95 PAGE= 02
******************************** THANK YOU ************************************
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