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1996, 09-30 Permit App: 996008317 MHPROJECT NUMBER= 96008317 APPLICATION`- --b DATE= 09/30/96 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 415 S FLORA RD PARCEL#= 55192.1703 ADDRESS= GREENACRES WA 99016 PERMIT USE= DOUBLE WIDE MOBILE HOME *** SEE NOTE *** PLAT#= 000077 PLAT NAME= APPLE VALLEY ESTATES 1ST ADD. BLOCK= 4 LOT= 3 ZONE= UR -7 DIST#= G AREA= F/A= F WIDTH= 1034 DEPTH= 69 R/W= 50 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = OWNER= CUPP, IRENE STREET= 415 S FLORA RD ADDRESS= GREENACRES WA 99016 CONTACT NAME= HOLLY MATHENA PHONE= 509 926 2375 PHONE NUMBER= 509 891 0568 BUILDING SETBACKS: FRONT= '1 LEFT= 25 RIGHT= 30 REAR= 20+ ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING SETBACK REVIEW REQUIRED COMMENTS: HEALTHDIST INCREASE IN LOT COVERAGE COMMENTS: PLANNING INADEQUATE FLANKING ST SETBACK COMMENTS: AeF42-. -1,(0,>" lv/ 'r1�0 yi► ****************************** MOBILE HOME PERMIT ***************************** CONTRACTOR= OWNER PHONE= YR/MAKE= 196 LIBERTY MODEL= SERIAL#= WIDTH= 26 LENGTH= 66 HEIGHT= 10 ITEM DESCRIPTION INSPECTION FEE STATE SURCHARGE COUNTY SURCHARGE QUANTITY FEE AMOUNT Y Y 2 100.00 4.50 22.00 PROJECT NUMBER= 96008317 APPLICATION' DATE= 09/30/96 PAGE= 02 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING MANUFACTURED HM 126.50 .00 126.50 126.50 PROCESSED BY: CAROL FRAZIER PRINTED BY: CAROL FRAZIER .00 126.50 THE INFORMATION CONTAINED IN THIS APPLICATION AND SUBMITTED FOR THE PURPOSE OF OBTAINING A PERMIT IS TRUE AND ACCURATE SIGNED: 4 DATE: ******************************** THANK YOU ************************************ APPLICATION iNFOlkMATION What is the JOB SITE address? q7,5- /1/4 7- k4 ASSESSORS tax parcel number? Legal description as it appears on the property deed OWNER or OCCUPANT �^�21e Mailing address y7s_ Phone I TCti' c4 6 City, state (%f e 5 1 Zip Who should contact regarding this project? 0 /(' h///1 ��k 6.A) ;\ What work is being done under this permit? Phone Water district Building Building height # of stories Contractor Dimensions TOTAL SQUARE FOOTAGE WA State Contractor license # Main floor area Unfinished basement area Mailing address 2nd floor area Finished basement area Architect/Engineer Garage area Size of decks, etc. What is the heat source? What is the cost of your project? Manufactured Home Sign Width: ear: x Q J Installer //5/ar Wa State Contractor license # Length: Make: // What is the square footage of the sign face? Contractor How high is the sign? Wa State Contractor license # Mailing address Mailing address Relocation Fire Safety Previous address Fire Sprinkler Paint booth Fire Alarm Tent Fireworks display _ VALUE Contractor Contractor WA State Contractor license # WA State Contractor license # Mailing address Mailing address Fuei Storage Tanks Swimming Pool (Circle one) Above -ground Underground Contents of tank(s) Size / gallons Size / gallons Private Public/semi-private Contractor Contractor Wa State Contractor license # WA State Contractor license # Mailing address Mailing address COMPLETE ALL APPLICABLE INFORMATION Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities. m e) a m PROJECT NUMBER= 96008317 APPLICATIONQ DATE= 09/30/96 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 415 S FLORA RD PARCEL#= 55192.1703 ADDRESS= GREENACRES WA 99016 PERMIT USE= DOUBLE WIDE MOBILE HOME *** SEE NOTE *** PLAT#= 000077 PLAT NAME= APPLE VALLEY ESTATES 1ST ADD. BLOCK= 4 LOT= 3 ZONE= UR -7 DIST#= G AREA= F/A= F WIDTH= 1034 DEPTH= 69 R/W= 50 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = OWNER= CUPP, IRENE STREET= 415 S FLORA RD ADDRESS= GREENACRES WA 99016 CONTACT NAME= HOLLY MATHENA BUILDING SETBACKS: FRONT= "W LEFT= 25 RIGHT= 30 REAR= 20+ PHONE= 509 926 2375 PHONE NUMBER= 509 891 0568 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING SETBACK REVIEW REQUIRED COMMENTS: HEALTHDIST INCREASE IN LOT COVERAGE Olt- - as /1 /ncL.- ,%a Cifi; c Settings system destyrcc; / VY .,Q.e. COMMENTS: IMAINW s eelye Cll3Q/ Lc ) PLANNING INADEQUATE FLANKING ST SETBACK /462- —% c .� e COMMENTS: 4-01,4-.440k ****************************** MOBILE HOME PERMIT ***************************** CONTRACTOR= OWNER PHONE= YR/MAKE= 196 LIBERTY MODEL= SERIAL#= WIDTH= 26 LENGTH= 66 HEIGHT= 10 ITEM DESCRIPTION INSPECTION FEE STATE SURCHARGE COUNTY SURCHARGE QUANTITY FEE AMOUNT Y 2 100.00 4.50 22.00 S©' ---d--A j �9 tv\ NiV\ke,\N ON -co 1(•c,0,,,Inol LAr.; cOP o._+ 6gc+.- icPcc, ,N104- 6t.r1 SPOKANE COUNTY DIVISION OF BUILDING AND PLANNING ADMINISTRATIVE EXCEPTION (Does not include Section 14.506.020 (6.c.) A. GENERAL INFORMATION �� // �. File no.: AE - 2- Street address of subject parcel: 7f'�Jr Fic-fa- Tax parcel no.(s): 55(` l 2 r (703 Section: Township:0 5 Range: fc /$7 ^aid Legal description: k 3 4,2-€e Applicant: O ((t' a__94z/ C Street address: S 577S-}:17.&`/^ Agent? Yes gNo City: bre E' S State: W Zip: 7 £ e ,-4 pax 9Rc9-?3>.S- Phone:` �� cd --0. c,�7� DS�S(home) o /(y ��a k1 9`G 6/-6/6/ (work) Current zoning: C (-1 Comprehensive plan: l•(w-b0-1,_, Current use of parcel: B. SPECIFIC INFORMATION Administrative exception requested (describe in terms of the standard from which you are seeking relief): ad' f S� -r- F/ova _(‘ = 4scy- -� Cerake_ ' 30 /ci(?h44 Applicable chapter/ section of code: /4(4'1 7 / LI( CQ $ 3 ?-6 (3) Explain reason for request / p1 Q e -mo ? /14 - I x I am the owner of record or authorized agent for the proposed site.All of the above responses and those on the supporting do ments are made truthfully and to the best of my knowledge Signed: Date: ?-3 O -9.7 THIS DOCUMENT MUST ACCOMPANY YOUR BUILDING PERMIT APPLICATION NOTE: The applicant or an interested party may file an appeal within 20 calendar days of the above date of signing. The appeal must be accompanied by the proper fee. Appeals may be filed as the Spokane County Division of Building and Planning, 1026 West Broadway, Spokane, WA 99260 (Section 14.412.041 of the Spokane County Zoning Code.) ATTACH SITE PLAN WITH PROPER DIMENSIONS AND OTHER SUPPORTIVE INFORMATION SPOKANE COUNTY DIVISION OF BUILDING AND PLANNING 1026 WEST BROADWAY AVENUE * SPOKANE, WA 99260 (509) 456-2205 Phone (509) 456-2243 Fax FOR STAFF USE ONLY: File no.: AE - - The County Buildin and Planning Division approves/denies this administrative exception" for the property describbove, pursuant to the Zoning Code of Spokane County, Sections 14.506.000 and 14.506.020 This administrative exception is subject to the following conditions and/or stipulations: 1) The applicant shall comply with all requirements and regulations of the Zoning Code. 2) The applicant shall comply with all requirements of the Spokane County Health District, County Utilities Division and/or Engineering and Roads Division regarding wastewater disposal, on-site water or public water systems and access. 3) The applicant shall comply with the following additional conditions: This administrative exception shall run with the land. Dated this A7 day of 199 7/z( -6? -e -c Pk/Administrative Exception form (jef).doc/6-25-96