1999, 11-22 Permit App: 99011266 MHPi of ect Number: 99011266 Inv: 1
Application
Date: 11/22/19 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Jnformation:
Permit Use: INSTALL DOUBLEWIDE MOBILE HOME
Setbacks: Front 35 Left: 4.5 Right 4.5 Rear: 41
Site Information:
Contact: STRONG, MICHAEL
Address: 14626 E BREVIER
C - S - Z SPOKANE, WA 99217
Phone: (509) 927-3056
Plat Key: 002730 Name: VALLEY VIEW ADD District
Parcel Number: 55181.1930
SitcAddress: 18415 E MAXWELL AVE
GREENACRES, WA 99037
Location:: GRE
Zoning: AG
Water -District:
Owner. Name: STRONG, MICHAEL
Address: 14626 E BREVIER
SPOKANE, WA 99217
Hold: ❑
Area- 0 Sq Ft Width: 63 Depth: 100 Right Of Way (ft): 40
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Department
BUILDING
BUILDING
Comments:
Comments:
Review
Site Plan Review
Plan Review
//-2Z y7
/
p
HEALTHDISTRICT Septic Systen3 Review
Comments:
PLANNING
Comments:
Permits:
Manufactured Home
Contractor: OWNER Firm: OWNER
Address: 0
000000, 00 000000
Item Description
STATE SURCHARGE
INSPECTION FEE
COUNTY SURCHARGE
Phone' (000) 000-0000
Units Unit Desc Fee Amount
1 Y OR BLANK $4.50
2 SECTIONS $100.00
1 Y OR BLANK $22.00
Permit Total Fees: S126.50
Project Number: 99011266 Inv- 1
Application
Date: 11/22/19 Page 2 of 2
THIS IS NOTA PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summon,: — -- -----
Operator: DMD
Permit Type
Manufactured Horne
Notes:
Printed By: DMD
Print Date: 11/22/1999
Fee Amount Invoice Amount Amount Paid Amount Owine
$126.50 $126.50 $0.00 $126.50
$126.50 $126.50
$0.00 $126.50
NOU-29-1999 16:04'
Project Number: 99011266 Inv: 1
Application
P. 01
Date: 11/22/19 Page 1 of 2
THIS IS NOTA PERMIT
Penalties will be assessed for commencing work without a permit
Prefect Information:
Permit Use: INSTALL DOUBLEWIDEMOBILE HOMEContnt
act: STRONG, MICHAEL
Address; 14626 E BREVIF,R
Setbacks: Front 35 Leh: 4.5 Right: 4.5 Rear: 41 C - S - Z SPOKANE, WA 99217
Site 1nlormation: Phone (509) 9274056
ffi' 90 IL=M; Ia.tGS' ,. =T. n".=.:ate:.^:YSw.i:'^A1[
Plat Key- 002730 Name: VALLEY ADD District G
Parcel Number: 55181.1930
SiteAddtess: 18415E MAXWELL AVE Owner: Name: STRONG. MICHAEL
GREENACRES, WA 99037 Address: 14626 E BREVIER
Location:: GRE SPOKANE, WA 99217
Zoning: AG
Water District
Hold: ❑
Area: 0 Sq Ft width: 63 Depth: 100 - Right Of Way (ft): 40
Nbr of Bldgs: 0 Nbr of Dwellings: 0
fleview I formation:. l:- a ec :7.reererea -: _r.:---mere-me::, e.:.
Panarttna:a
BUILDING
Comments:'
BUILDL'VG
Comments:
view
She Plan Review
Plan Resiew
HEALTHDISTRICT Septic Systetir Review
Comments:
PLANNING Laminae/Zoning
Comments:
Permits:
Contractor:- OWNER
Address: 0
000000, 00 000000
AfaaWkctrrrd Home
-9?
MAD -99
Firm: OWNER
Phone: (000) 000-0000
item Desc>ygtion ligka UnitDesS Pse Amount
STATE SURCHARGE 1 Y OR BLANK 54.50
INSPECTION FEE 2 SECTIONS 3100.00
COUNTY SURCHARGE 1 Y OR BLANK 522.00
Permit Total Fees: 3126.30
TOTAL P.01
On -Site Sewage Systems CChapter 246-272 WAC)
Request For Waiver From State Regulations f9 0429
/ ( SECTION 1.
I COMPLETED BY APPLICANT
Name: (1) I-
A-&��mc - 2n L u
co clic
Local Health Department / District (2)
Address: F
,184 I S MaY--- C -C A,/14176.
rkaNacr-ES
1.,5 .3(...
Telephone:
Signature:
Property Identification:
,/5 '',,
(3) / S'}' ( n ' G2s % e- l./h2e`iuce----a
1 gi"SI-1936
ISECTION II. I
COMPLETED 13,1 APPLICANT
WAC Number: (4)
WAC Requirement: 15)
5 #3.— 6u. t.d:a)
Waiver Sought: (6)
%CCci..rnt'- Ari L.J -e-eL6c.1
ie... 71v'iL 6N-
(„dts se...nye Lk
2.e& -W.
246-272- '—WAt
. /o' F o.-.
Subsection -
Justification (Mitigation measures to be provided): (7)
SECTION 111.
COMPLEIhD BY HEALTH OFFICER
Rev' w iteria (8) ' A
iga on Me sures f,
addition to those propel d) : (9)
•ell s i7li� d,
a s i
sini
Comments / Conditions: (10)
Ar_(n�q xr.— Uirt t..) ` 0. r--4 - W Mi -3/4-
Type of Waiver: (11) ❑Class A OClass 6. class C - Request DOH review before granting? Yes_ No(c
/,_
Neighbor Notification: (12) Required' Yes No, 1/needed. are agreements. easements. etcproperly filed? Ycs_ Na
SECTION IV
COMPLETED OY HEALTH OFFICER
This Request For Waiver From State Regulations
The review criteria applied. and the mitigation
protection at least equal to that provided b'
Approved / Granted -1
1:1 Denied
measures
this
Ibject
has bccn reviewed according
proposed and/or required,
chapter WAC.
to all comments, conditions
�`'�1
�if//
l'
to the provisions of Chapter 246-272 WAC On-Sitc Sewage Systems
have been evaluated for their ability to provide public health
and requirements noted in Section II and 111-
i g- Date: ?- if— 9 /
Local flcalUa Otficcr(13)
n
f 11»
.. r /
SPOKANE COUNTY D1VISION OF BUILDING AND PLANNING
ADMINISTRATIVE EXCEPTION
(Does not include Section 14.506.020 (6.c.)
A. GENERAL INFORMATION n� pp File no.: AE ` - 3-"R- 99
Street address of subject parcel: /gh// "Li
✓�
Tax parcel no.(s): / 7 S 0 Section: I Township: a S -Range:
Legal description:
Applicant: /r) /CWA ..5-r ix/6 Agent? Yes 0 No)i
Street address: 76y2 5 7.124 ,i,4LtiL/
City: 6'4/YR/ore State: lIR% A Zip: 99»
Phone: _SCti 2 -9.:17 - 5651(home) -T'-5 ?- 90,7-7,-, s- 6 (work)
Current zoning: LIR-- 3. S Comprehensive plan: fL.
Current use of parcel: V C...C.6-4—
B. SPECIFIC INFORMATION
Admit 'strative exc tion requested (describe in terms of the standard from which you re seeking rebel):
% 14_pyo ply � � e.
-361-x- yam _>
Applicable chapter/section of code: 11', (Oita --32-3 (;) /�
"}
Explain reason for request:7Ve e /5 AjO cj j ,v, JV.t. L r`/r c:/
ch X
NDN 1
2:7- cY iL0 "el V 7710 J d07v/ Zu 1N � /
1 run the owner of record or allthori_zed agent for the proposed site.All of the above responses and those an the
supporting documents arc' ;rade truthfully and to the best of my knowledge
Signed: LCji 7
THIS DOCUMENT \LUST ACCOMPANY YOUR BUILDING PERMIT APPLICATION
NOTE: The appbc, nt or at; interested party may file an appeal within 20 calendar clays of the above dale of signing;.
The appeal must h_ : ccotnpanted by the proper fee. Appeals may be bled as the Spokane County Division. of Building
and Planning. 102O 1V est E. -roadway, Spokane, \VA 99260 (Suction 14.412041 of the Spokane County Zoning Code.)
ATTACH SITE PLAN WITH PROPER DIMENSIONS AND OTHER SUPPORTIVE
INFORMATION
\....'. E COUNTY DIVISION OF BUILDING AND PLANNING;
I \EST BROADWAY AVENUE ' SPOKANE, VIA 99)60
(509) -2205 Phone (509)456-2213 Fax
POR STAFF USE ONLY: File no.: AE t - 32 - %
The County Building and Planning Division approves/denies this "administrative exception" for the
property desc ibed above, pursuant to the Zoning Code of Spokane County, Sections 14.506.000 and
14.506.020 C ,9
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 222 day of /V6 V , 199 7 .
6L4 �"
ti
This site plan Is her to suh '=n 3d fcr the purpose of
obtaining a buddin,., pernand is a true and correct
representation of t , proposal. All known property
lines/dimensions, cu • lines. structures and easement:,
have been identifie 1. Also indicated are wetlands,
bodies of water, st-ep slopes or other critical areas.
Signed:—
Date:
0
0
ADDRESS
TONE: (LI
ROA% WIDTH:
FRONT:
:OMMENTS:.5i
,c'tfw!.%4IEr1
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