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2000, 06-16 Permit App: 00005061 MFH Project Number: 00005061 Inv: 1 Application Date: 06/16/2000 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RELOCATION OF DOUBLE WIDE Contact: MARLIN YODER MANUFACTURED HOME Address: 20814 W MCFARLANE RD C-S-Z: MEDICAL LAKE,WA 99022 Setbacks:Front 35 Left: 50+ Right: 10 Rear: 102 Phone: (509)299-4144 Group Name: Project Name: Site Information: Plat Key: 001853 Name: OPPORTUNITY PLAT#2 District: F Parcel Number: 45201.1051 Block: 229 Lot: SiteAddress: 527 S OBERLIN RD Owner:Name: TYSON,STEVE&SHANNON SPOKANE,WA USA 00000 Address: 527 S OBERLIN RD Location::SPO SPOKANE,WA 99206-8602 Zoning: UR-22 Urban Residential-22 Water District: Hold: ❑ Area: 11,620 Sq Ft Width: 120 Depth: 130 Right Of Way(ft): 60 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review In formation: _ Department Review BUILDING Site Plan Review • ,� £ let Hold Reasons: CTEV (ta/ Permit Conditions: BUILDING Plan Review v Hold Reasons: �-�,�„ �• Permit Conditions: ENGINEER Approach/Drainage By: Cif ,14) b-1 0 Hold Reasons: Permit Conditions: 00 ) 3 441,0 BUILDING Special Reviews QC, By: Hold Reasons: Permit Conditions: UTILITIES Sewer Review By: CD SOC9 3 l/077- Hold Reaso i • Permit Conditions: C • l Project Number: 00005061 Inv: 1 Application Date: 06/16/2000 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Manufactured Home Contractor: L&M ENTERPRISES Firm: L&M ENTERPRISES Address: 29714 W MCFARLANE RD Phone: (509)299-4144 MEDICAL LAKE,WA 99022 Item Description Units Unit Desc Fee Amount INSPECTION FEE 2 SECTIONS $100.00 COUNTY SURCHARGE 1 Y OR BLANK $22.00 Permit Total Fees: $122.00 .l-av,Zent Summary: m,mr .z ,�M s Operator: RMB Printed By: RMB Print Date: 06/16/2000 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Manufactured Home $122.00 $122.00 $0.00 $122.00 $122.00 $122.00 $0.00 $122.00 Notes: - x.. ,,MP.:kOO, IN .eg&MPURRMWOUA444 s s 60I 1 1 PROJECT APPLICATION —So@ R � SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT N, 1026 WEST BROADWAY AVENUE i- SPOKANE,WA 99260 SPOK{ COUI\UY 509-477-3675 Project Description: S �f A o r^ b 1,R 'It.,:,-(•e ( er,t 5v_-/-) TYPE OF APPLICATION ,$ Building Permit ❑ Change in Use ❑ Grading El Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant (New/Change) ❑ Other SPECIFIC SITE INFORMATION Street Address: ` 5 21 06eeliA,4 ez Assessor's Tax Parcel Number(s): L} , O 1- 105-I Legal Description: g 1 2 2 9 P,9 F- G Sq-7. c( 5 0 . Ig.-. 'rare - -ry w 327. z Department Use Only' '� ` ' T 2e,2.i Water District/Purveyor: Sewer District/Purveyor Road width( l Setbacks (` Front: Rear: School District: Fire District: Zoning l `—"'5 Left: Right: OWNER/APPLICANT INFORMATION El Indicate who should be contacted regarding this project ❑ Owner: G Phone: tjO' s") s Q 3$L .. p�Applicant: Phone: 50 Z"PI e/,/t/c/ 5.4420e- -r /g."t^'.i'L..---t-y�-.Fax: 1 lc r / ,"\ Yoder ode.r Fax: Mailing Address: Mailing Address: 5z-7 5 O 6 ) ,ti` 2(-3e t L/ t.,) e I=-,r 1—, a2,c1 City,State,Zip City,State,Zip S4ok—e liq 990 - e,..4:`n_l L K Coil-c- .4?6 Z2 ❑ Contractor Phone 43 el a -1-7-2V ❑ Architect/Engineer Phone 0,.K - occi (1/e–' 25 Fax Fax Mailing address Mailing address /'7Z/5 Fro ,,r City,State Zip / City,State Zip C.1 r-�C2.-,., ��� w 9/0/4, WA State Contractor license# Contact name: PROJECT INFORMATION Building Information Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft. i 2' /2 g4, .-� Dimensions Total habitable space 2d floor sq.ft. Finished basement sq.ft. 2'''7 Y g / 21(i) Occupancy y g p Construction type Garage sq.ft. Deck sq.ft. Cost of project Heat source(electric,gas,etc.) z_Te ` t ct..e Manufactured Home Sign Width: Length: What is the square footage of the sign How high is the sign? 7 F face? Year: Make: #of signs Area of existing signs /73 ocLK L-J00 Relocation Fire Safety Previous address Fire Sprinkler Tent Paint booth_ Fire Alarm Fireworks display Proposed use Value Special Inspections Required? Non-Residential Energy Code Compliance? Firm Name Phone Plans Examiner Phone Inspectors: Address Inspector Phone 0 Concrete O Welding O Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? O Yes c51.No What is the current property size? If yes,identify on site plan (square feet or acres) / 2 0 X (7a Is any part of the property within 250 feet of a shoreline? What is the current use of this property? If yes,identify on site plan O Yes stNo Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes 5,13 No O Don't know O Yes ,Q' No Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? If yes,identify on site plan If yes,identify on the site plan O Yes , No O Maybe ) l Don't know O Yes O No Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property? property? O Yes [&No If yes,identify on site plan El Yes ,1 No Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site? ( /%) 0 Yes ,' No O Yes );b No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? ,® Yes El No CI Yes ElNo Is the property inside the ASA? O Yes O No Is public water available to the site? f;1 Yes El No O Yes O No Is the property inside the PSSA? El Yes O No Is the property located within 1000 feet of a Natural Resource Area? El Yes El No Date Received: Staff Representative. tae/ If zi5-701• to 5/ ADDRESS �J .5� t N _..l 3o X 2 ZONE LAY---3,5 00.1 ROAD WIDTH bo FRONT 3 S FLANKING COMMEN . REVIE "D D �:.. ( 2o` 1 This site plan is being submitted for the purpose of obtaining a building permit and is a true and correct representation of the propcsal.All known property lines/dimensions,curb line;,structures and easements have been identified.Also indicated are wetlands, bodies of water,steep slopes or other critical areas. Signed: �`"---k- c Date: l02 t 3, r\ 1 2 o' F Q--t" 7\' <3s Cwl' CrAr3 / 20 '