Loading...
91-101016CITY OF FEDERAL WAY BUILDING PERMIT (211,1010p BUILDING INSPECTION 941-1555 91-1031 MH DETRAYS PACIFIC HOUSING 2101 S 324TH STREET #295 PERMIT NO. OWNER'S NAME JOB ADDRESS DETRAY' S QUALITY HOMSE 3801 PACIFIC AVENUE OLYMIA 491-9500 CONTRACTOR AO�-SS CONT. PHONE CONT. REG. NO. DETRAQH253KH OWNER'S PHONE 833-3940 OWNER'S ADDRESS 3205 AUBURN WAY N AUBURN TYPE JOB: NEW RESIDENCE ADDITION NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER TAX ACCOUNT NO. 162104-9037 LEGAL DESCRIPTION LOT 295 BELMOR MOBILE HOME PARK GOLF & COUNTRY CLUB ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 7-19-91 ANC BUILDING INFORMATION RM 3600 OCCUPANCY_ R3 _ _. TYPE OF CONSTRUCTION_VN BLDG. SQ. FT. 1152 SET BACKS: FRONT 161 SIDE 5' 14' REAR2.4' STORIES HEIGHT LIMIT PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT, BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR _ TANK(S) SHOWERS _ URINALS FORCED AIR FURNACE AIR HANDLING UNIT _ NUMBER _ LAVATORIES DRINKING FOUNTAINS _ GAS HOT WATER HTR. MISC RETURNED SINKS MISC, CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES UNIT HEATER __. TOTAL MECHANICAL _ AMOUNT VALUATION 5068_80 _ PLANNING DEPT APPROVAL: MOBILE HOME SET UP ONLY. THIS PERMIT DOES NOT INCLUDE CARPORT OR GARAGE. DB 8-5-91 RMIT FEE 72-00 N CHECK FEE 47 _ n_ n0__ FIRE/BUILDING DEPT APPROAL: MM 8-7-91 PLUMBING FEE THANK FEE JTAL BLDG. FEES - PART P/C FEE SEPA REVIEW DATE: WATER SERVICE WATER MAIN CHG. AMOUNT: 123.50 S.B.C.C. FEE 4 _ 50 OTHER FEES RECEIPT: 2((// AMOUNT DUE ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: - p Apl_ OWNER OR AGENT DATE t "'ITY OF FEDERAL WAY BUILDING PERMIT BUILDI41 NG INSPECTION PERMIT NO. OWNER'S NAME JOB ADDRESS CONTRACTOR ADDRESS CONT PHONE _ CONT. REG. NO. OWNER'S PHONE OWNER'S ADDRESS TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER_ TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION ZONE_ OCCUPANCY___ _ TYPE OF CONSTRUCTION------,------,,-,---- BLDG. SO FT SET BACKS: FRONT SIDE ___ REAR--,---- _ _ STORIES _-_- HEIGHT LIMIT PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER _ RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS _ FORCED AIR FURNACE AIR HANDLING UNIT NUMBER _ LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES II HEATERTOTAL MECHANICAL AMOUNT �UNIT ]N tT TS L. tt ((���� A7���,,� a DEPTONLY._ ES VALUATION ilWMT PERMIT FEE p`TRE/RUILDING HEFT APP L: *fid 8-7-9I PLAN CHECK FEE PLUMBING FEE CHANICAL FEE y TOTAL BLDG. FEES PART P/C FEE �I _ SEPA REVIEWTl� -- – - i WATER SERVICE WATER MAIN CHG. .B.C.C. FEE – OTHER FEES O .�CEY� . AMOUNT DUE ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: OWNER OR AGENT DATE 4 - CITY OF FEDERAL WAY BUILDING PERMIT BUILDING 941!N SSECTION PERMIT NO. OWNER'S NAME JOB ADDRESS CONTRACTOR ADDRESS CONT PHONE CONT. REG. NO. OWNER'S PHONE OWNER'S ADDRESS TYPE JOB: NEW RESIDENCE ADDITION_ NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD NEW PUBLIC PUBLIC ADD. _ NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN__ GRADING OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION ZONE OCCUPANCY TYPE OF CONSTRUCTION _ BLDG. SO. FT. SET BACKS: FRONT SIDE REAR-------- _ STORIES HEIGHT LIMIT PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT BOILER RECEIVED _ BATHTUBS LAUNDRY DRAINS _ COMPRESSOR _ TANK(S) SHOWERS URINALS - FORCED AIR FURNACE AIR HANDLING UNIT _ NUMBER _ LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR MISC RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL _.. AMOUNT } 1%7 nn VALUATION " PERMIT FEE PLAN CHECK FEE PLUMBING FEE ECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG.------ S.B.C.C. FEE OTHER FEES - — -- AMOUNT DUE ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: OWNER OR AGENT DATE 0 � 0 A*, 5JET BACKS AND FOOTINGS DATE . ... .. OX TO POUR FOUNDATION WALLS DATE BY PLUMBING GROUNDWORK DATE BY PLUMBING ROUGH IN DATE __ - ___-_BY WATER LINE O.K. GAS PIPING O.K. MECHANICAL INSPECTION DATE BY O.K. TO ENCLOSE FRAMING DATE __.- __ BY INSULATION DATE BY WALL BOARD AND FIRE WALL DATE BY FINAL O.K. TO OCCUPY DATE BY f75 DCD PSD FD /92- 7 -le Zoe- 111AAW e�k gi L AO Ar 0A1 !62 --rion -cm y • • #!/ _A)bar d-1 RECEIVED 611 ,fit; p CITY OF FEbERAL WAY 01TIvok Iwk.UE"L AUILDING PERMIT APPLICATION E3UILDWO DEPT. — Please Print — BOX 1 TENANT NAME: �f OWNER /9 A-7-00 't MdCFrc I&PI VCgE LOCATION Te�_ ST- Lq1: OWNER'S ADDRESSCITY ' u PHONE -394 DESCRIBE JOB Ne-0/'Ll• /¢. L4- T4U_*TLon! THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME (2 �S r 1_,'YC-.CONTRACTOR'S REG. )'2.4c�+z531c Card MUST be presented CONTRACTOR'S ADDRESS 3t l �4C. OTuL. CITY 11PHONE l -.i S'oo EXPIRATION DATE 1' I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 47057 LEGAL DESCRIPTION Go7- 25N" j_Q&&rn.,, ecu_R' (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # -0- BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK_____J_ GARAGE / BOX 8 ( ) SINGLE FAMILY ( -y-NEW CONSTRUCTION O'Co,6stf- ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT :1 • PLUMBING FIXTURES (including rough -ins) N0. WATERCLOSETS BATHTUBS SHOWERS LAVATORIES SINKS DISHWASHERS ELECTRIC HOT WATER HEATER LAUNDRY WASHER OUTLET INALS DRINKING FOUNTAINS SUMPS, SPRINKLER VACUUM BREAKERS DRAINS OTHER TOTAL FIXTURES MECHANICAL APPLIANCES — BASIC FEE $ GAS PIPING, FEET $ N0. FURNACE, ELEC. GAS $ GAS HOT WATER HEATER $ CONVERSION BURNER $ BOILER, SIZE BTU $ AIR HANDLING UNITS $ HEAT PUMPS, SIZE $ UNIT HEATERS $ AIR COOLING UNITS, SIZE $ COMMERCIAL HOOD $ OTHER $ TOTAL MECHANICAL FEE $ I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS MADE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS' FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLODING THE UNDERSIGNED, AND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPLQYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: DATE: ANP -008 3/90 00 Y OFFICE USE ONLY (PLEASE DO NOT WROTE BELOW THIS LINE) ZONECm-3000 SETBACKS: FRONT 1-' /0' SIDE JSP 1y REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL 8/S / REMARKS: - ` SEPA: EXEMPT V--' NOT EXEMPT FIRE DEPARTMENT APPROVAL /Yleit!r DATE�9� REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL 061.04 DATE REMARKS: TYPE OF JOB: NEW RESIDENCE_ RES. ADD/ALT NEW INDUSTRIAL , IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY L TYPE OF CONSTRUCTION VIV STORES 04e BUILDING SQ. FT. _/_/�Z- @ _ .760 BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. /SZ TOTAL VALUATION 5-760 BUILDING DEPARTMENT REMARKS: pECENED AUG 01 i99i ,SSIGNED ADDRESS: mount PARTIAL PLAN CHECK FEE RECEIVED Date x . 91116' .3069 PERMIT FEE 7E PLAN CHECK FEE `/ 7 PLUMBING FEE -6 MECHANICAL FEE e TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE Receipt # - ABUILDING DEPARTMENT APPROVAL Y /!'lion' .7 oWA941-- DATE_ &9 Z l ACCEPTED FOR FILING Receipt # - ABUILDING DEPARTMENT APPROVAL Y /!'lion' .7 oWA941-- DATE_ &9 Z l ACCEPTED FOR FILING 1. The mobile home shall dsplay a pa y atked Dept of L.M. or H.U.D. inspection label. 2 Installation of the mobile home shd be per manufacturers mmmmwKWione. R E h E pb site copy of the marwfectue*" AUG 0 1 1991 CITY OF i teOERAL WAY FILE 01 M rUK1rn nr-PT CITY OF FEDERAL WAY REVISION BUILDING PERMIT I'i - 1w of 0 BUILDING INSPECTION 941-1555 PERMIT NO. 91-1031 MH OWNER'S NAME DETRAY' S PACIFIC HOUSING JOB ADDRESS 2101 S 324TH STREET #295 CONTRACTOR DETRAY' S QUALITY HOMESADDRESS 3801 PACIIFC AVE OLYMPIA CONT. PHONE 491-9500 CONT. REG. NO. DETRAPH253KH OWNER'S PHONE 833-3940 OWNER'S ADDRESS 3205 AUBURN WAY N AUBURN TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER TAX ACCOUNT NO. 162104-9037 LEGAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUE �C� 7 - �i�� DATE OF APPLICATION 10-15-91 BUILDING INFORMATION ZONE _ OCCUPANCY R3 _ TYPE OF CONSTRUCTION__ VN BLDG. SQ. FT._ SET BACKS: FRONT SIDE _ REAR _____ STORIES HEIGHT LIMIT _ PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER _ RECEIVED BATHTUBS LAUNDRY DRAINS _ COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER _ LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE _ DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION 1,377.2_ REVISION APPROVED: KC 10-15-91 RMIT FEE 33.00 PLAN CHECK FEE 21.00 PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW DATE: WATER SERVICE WATER MAIN CHG. AMOUNT: $94.00 S.B.C.C. FEE OTHER OTHERFEES RECEIPT: J AMOUNT DUE 54.00 ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE IXFORMATIQN FINISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILLBE OWNER OR AGENT V DATE RM4r:10N Perm' RECErbVeo CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION PERmff # I — Please Print — BOX 1 TENANT NAME: OWNER DETRAY'S PACIFIC HOUSING SITELOCATION2101 So. 324th St Site #295 OWNER'S ADDRESS 3205 Auburn Way No. CITY Auburn HONE 833-3940 DESCRIBE JOB New Mobile Home Installation THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION XX BOX 2 CONTRACTOR'S NAME Detray's Quality Homes Inc. CONTRACTOR'S REG. # Detra h 253kh Card MUST be press CONTRACTOR'S ADDRESS 3801 Pacific Avenue CITY Olympia PHONE 491-9500 EXPIRATION DATE 09AM 05/01/92 —OR— I HAVE READ CHAPTER 18.27.010 RELATING T( DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUhIG PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON Del DeTray PHONE 833-3940 BOX 4 SEWER DISTRICT Federal Way WATER DISTRICT Federal Way BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 162104 - 9037 LEGAL DESCRIPTION XWXXH.X Belmore Mobile Home Park, Golf & Country Club Lot (If necessary, please submit a separate page with the legal description.) JA U CON -1 K.C. Plat Recording # 0 "�l�i•�--� BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 26 / 56 4" 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY 1"3c'C S r = S r �'�` ( X) NEW CONSTRUCTION Mobile 1 e Home -r �� N N"C ( ) MULTIFAMILY (NO. OF UNITS= P Fir ( ) EXISTING STRUCTURE �� ( ) COMMERCIAL/INDUSTRIAL 0�_3 TOTAL AREA OF PROPERTY l 465 SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ N0. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS N0. FURNACE, ELEC. GAS $ SHOWERS GAS HOT WATER HEATER $ LAVATORIES CONVERSION BURNER $ SINKS BOILER, SIZE BTU $ DISHWASHERS AIR HANDLING UNITS $ ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $ LAUNDRY WASHER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ OTHER $ TOTAL FIXTURES $ TOTAL MECHANICAL FEE $ Nil I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS MADE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS' FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED, AND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMP OYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: _Q"DATE: September 10/91 ANP -008 3/90 /{� E ZONE SETBACKS:FRONT_ PLANNING DEPARTMENT APPROVAL REMARKS: • OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL REMARKS: PUBLIC WORKS DEPARTMENT AP REMARKS: SIDE REAR HEIGHT LIMIT DA' BUILDING DEPARTMENT REMARKS: RECEIVED ASSIGNED ADDRESS: S �-e— T—� l S t Amount PARTIAL PLAN CHECK FEE RECEIVED Date Receipt # BUILDING DEPARTMENT APPROVAL BY 4�� DATE_ PERMIT FEE 33 PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE ACCEPTED FOR FILING TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY Pti i' TYPE OF CONSTRUCTION V1lj_ STORES oval f't BUILDING SQ. FT. �� (3 @6S - BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. BUILDING SQ. FT. @ @ _ __13 TOTAL SQ. FT. TOTAL VALUATION7 7` Z BUILDING DEPARTMENT REMARKS: RECEIVED ASSIGNED ADDRESS: S �-e— T—� l S t Amount PARTIAL PLAN CHECK FEE RECEIVED Date Receipt # BUILDING DEPARTMENT APPROVAL BY 4�� DATE_ PERMIT FEE 33 PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE ACCEPTED FOR FILING s-/ 040 !'HEP. ARE TC 1'0 T - AP°R( .JN'LE. S :;THE FHE.DE.RAL Y, BE NO DEVIATIONS VED DRAWINGS (WISE APPROVED BY VAY BUILDING DEPT. ly6� f �or /V1cb� � �arE( -4:r --Q, ol 5Fllo M l "= 0 FILE REVISION RECEIVED OCT 15�� -- 1991 q-( M� PEW 1SIc--� HOUSE WILL STILL SIT THE SAME AS ORIGINAL PLAN, PERMIT # 91-1031 MH REV 1. THE MOBILE HOME SHALL DISPLAY A PERMANENTLY by AFFIXED DEPT. OF L & I OR H.U.D. INSPECTION LABEL. 2. INSTALLATION OF THE MOBILE HOME SHALL BE PER MANUFACTURER'S RECOMMENDATIONS. 3. PROVIDE A JOB SITE COPY OF THE MANUFACTURER'S SETUP BOOKLET. BE NO DEVIATIONS VED DRAWINGS (WISE APPROVED BY VAY BUILDING DEPT. ly6� f �or /V1cb� � �arE( -4:r --Q, ol 5Fllo M l "= 0 FILE REVISION RECEIVED OCT 15�� -- 1991 q-( M� PEW 1SIc--� HOUSE WILL STILL SIT THE SAME AS ORIGINAL PLAN, PERMIT # 91-1031 MH REV