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1994, 10-24 Permit App: 94010624 MHPROJECT NUMBER= 94010624 APPLICATION DATE= 10/25/94 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= ADDRESS= PERMIT USE= 18920 E MARLIN DR OTIS ORCHARDS WA 99027 PARCEL#= 55062.0610 DOUBLE WIDE MOBILE HOME - EXISTING PLAT#= 000145 PLAT NAME= BARKER ROAD MOBILE HOMES ADD. BLOCK= 5 LOT= 10 ZONE= UR -7 DIST#= G AREA= 00000000 F/A= F WIDTH= 75 DEPTH= 135 R/W= 60 # OF BLDGS= 2 # DWELLINGS= 1 WATER DIST = OWNER= SMITH, DAVID & HAZEL STREET= 18920 E MARLIN DR ADDRESS= OTIS ORCHARDS WA 99027 CONTACT NAME= DAVID OR HAZEL SMITH PHONE= 509 891 5217 PHONE NUMBER= 509 891 5217 BUILDING SETBACKS: FRONT= 65 LEFT= 6 RIGHT= 6 REAR= 39 ****************************** REVIEW INFORMATION *************************++** DEPARTMENT REVIEW REQUIREMENT BUILDING SETBACK REVIEW REQUIRED COMMENTS: ENGINEER AP ROACH/ DRAINAGE/ FLOOD COMMENTS: 10 -25 - • OM.P lei HEALTHDIST INCREASE IN LOT COVERAGE COMMENTS: ****************************** MOBILE HOME PERMIT ***************************** CONTRACTOR= OWNER YR/MAKE= 73/KIT ROYAL OAK MODEL= SERIAL#= ITEM DESCRIPTION PHONE= WIDTH= 24 LENGTH= 70 HEIGHT= 10 INSPECTION FEE STATE SURCHARGE COUNTY SURCHARGE PERMIT TYPE FEE AMOUNT QUANTITY 2 Y Y AMOUNT PAID PPS.Ob CTILtLL Hti', 0(-2 FEE AMOUNT 100.00 4.50 16.00 AMOUNT OWING PROJECT NUMBER= 94010624 APPLICATION DATE= 10/25/94 PAGE= 02 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING MANUFACTURED HM 122.50 .00 122.50 122.50 PROCESSED BY: BURRIS, ROBIN PRINTED BY: BURRIS, ROBIN « «.******************,t******** THANK YOU .00 122.50 ************************************ APPLICATION INFORMATION q - SITE ADDRESS Parcel number 18720 6. MA-2Lt L/ .DQ. .5-5-042,060Legal escnption sN 5PoSAALE cocain', w sN9vGrvs.) for /D, BLOCK ,_8AKKEQ %jiD moszle enesi RCOZNG to PMT Rfcaeon) Vu Ua an1e 9 orOrhrs, P/,G,< Yb n Zone... - - Inspector dis rc - - Property size , :. •,. - - Right of way width- • " - Waterdistnct OWNER Phone ©/r✓r0 b/. 4 t 4-g&- o, SmrrW (5o4) 84l-Sz/7 Address City, state Zip I89ao 5. /naktrA) De. oir5 ORG/14-,e05, LOA 99e27 APPLICANT Phone S4ine Address City, state Zip CONTACT Phone Slime. PERMIT USE O MR"/cc Res-EDEA/CE "REAL MoP&err" Building New Change of use_ Add Remodel Building height Stories Contractor Dimensions Total square footage License Main floor Unfinished basement Address Second floor Finished basement Architect/Engineer Garage Decks, etc. Value Manufactured Home Sign Width: a`i Length: 70 Square footage Height Year. /973 Makek3 RoyAL Ome_ Contractor Contractor License License Address Address City, state, zip City, state, zip Relocation Fire Safety Previous address Fire Sprinkler Tent _ _ Paint booth _ Fire Alarm _ Fireworks display VALUE Contractor Contractor License License Address Address City, state, zip City, state, zip Fuel Storage Tanks (Circle one) Above -ground Underground Swimming Pool Contents Size / gallons Size / gallons Private Public/semi-private Contractor Contractor License License Address Address City, state, zip City, state, zip Department of Labor & Industries Factory Assembled Structures Section INSTRUCTIONS: 1. Complete all spaces, including the signature box (marked with an X). 2. Draw a map on reverse side of WHITE copy only. 3. Forward completed permit and fee to the nearest L&I office. See list on reverse. 4. Contact and schedule the inspection with the same L&I office within 1S days. Owner last name first name Day time phone C ? ALTERATION PERMIT Do not complete shaded areas /Permit .... 35 5�- DA lttb so. yq) -.can Address City I g7o7,J E saldarl) A2. errsoR.cHR-RDs Installer/Contractor/Dealer Phone ( ) , State ZIP 04 991)2.7 Contractors registration number Address ;City • . State ZIP+4 Check the appropriate boxes in section A and section B. A. U Commercial Coach Serial No. at Mobile Home Serial No. 78,5 }IUD No. ulRecreational Vehicle or rj Park Trailer Serial No. Model No. or Plan Approval No:'.;.. $ ❑ Alteration Inspection (check appropriate boxes below) Air Conditioning/Heat Pump Electrical Electrical Appliances Fire Safety Gas Furnace Gas Piping Plumbing Structural Wood/Pellet Stove — — Plan Review RV Inspection Reinspection FEES $75.00 D9/28/94 3:34PM DD2N0414 e i.:K:S: FAS 175. go CFIECI( 375,0D Serial No. Technical Inspection Ongmal Pcmnt No. $70.00 $70.00 $50.00 $50.00/hr /Signatuur o applicant or authorized rfpresentative 2L/Af/el' �//J Department use only . ' Request approved or . Li .Request denied because of specific violations of Washington rulesand regulations- Violations • .must be. corrected and:reinspection requested within -10 days forrrecreational vehicles: and-20.days_for 'Mobile homes and. ":commercial coaches of the notice'of violation date ('Phis does not apply�to technical Inspections). It Is unlawful to offer for sale, 1 rent, or lease any non -complying mobile home, commercial coach or recreational "vehicle. - - ,- Make check payable to: Dept. of Labor & Industries FEES DUE $ Lijijlncluded are forms required which tnivst be completed and fees submitted before reinspection. !)arc 7 '�,"-- f - _ :;� Cly• Area office ._ �., .., f:. f i .. t;;.-; Inspector t`1,,, _ ,-/'-C L'tl•2: 0 t f.,:; -�- 1/Total pages) F622-012-000 alteration permit 6-94 White -Olympia Green -Contractor Canary -Inspector !'ink -Purchaser Goldenrod -Purchaser E. /44 RL ri ) D g- teilt:r:LE f.si to" 'StTE 11 0 1?9 E M,L2.tJ be. 201(," reAGE. ELEvAnD DEct4 .aeb” (--1777,Insas A9 03 31Adr S •ths4 NV e IN083 OG +1.1.0IM OVOti L. -'6n 3NOZ MCI mak) int p2b9i SSRKICIV 2 • H N V E. MR4RLm) DR -Lye 1: Navas 0 GRRAG-E E L'C—a N 45'10' T K rE Poi& $920 E• IAARLSN DR, 2'd 5Q13 d0 1d3G 3Nd)lOdS Wd62:60 76, 92 130