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1998-06-03 Permit Sewer_Page_3SITE ADDRESS: 19119 E BROADWAY AVE GREENACRES WA 99016 PARCEL NUMBER: 55172.0422 SUBDIVISION: CORBIN ADD TO GREENACRES LOT: 3 BLOCK: 3 ZONE: B-3 INSPECTOR: LEONARD FLUNO WATER DIST: CONSOLIDATED IRRG OWNER: PALM HARBOR PHONE: 503 209 9995 ADDRESS: 15303 DALLAS PKY #800 DALLAS TX 75248 PROJECT NUMBER: 98003115 ISSUE GATE: 06/17I48 PERMIT USE: PALM HARBOR MOBILE HOME SALES LOT W/OFFICE APPLICANT: PALM HARBOR PHONE: 503 209 9995 ADDRESS: 15303 DALLAS PKY #800 DALLAS TX 75248 CONTACT: PAM SANDLIN/MERLIN G PHONE: 509 892 5322 SETBACKS -> FRONT: UNK LEFT: UNK RIGHT: UNK REAR: UNK LENDER NAME: PHONE: ADDRESS: PERMTT(S} MOBILEHOME PERMIT MISC FEES DUE CONTRACTOR CONTRACTOR OWNER OWNER LICENSE: LICENSE #: INSPECTION FEE 2 APPROACH INSPECTION 1 APPROACH PERMIT 1 PLAN REVIEW FEE 65.00 COUNTY SURCHARGE 36.30 STATE SURCHARGE 4.50 TOTAL PERMIT FEE $30.00 TOTAL PERMIT FEE $205.80 PAYMENT SUMMARY PAYMENT DATE RECEIPT# PAYMENT AMOUNT ------------ -------- -------------- 04/17/98 00003774 $65.00 06/17/98 00006327 $170.80 TOTAL FEES AMOUNT PAID AMOUNT OWING $235.80 $235.80 $.00 ISSUED PERMIT BY: CAROL FRAZIER v