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1996, 05-03 Permit App: 96003068 MH PROJECT NUMBER= 96003068 APPLICATION DATE= 05/03/96 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT It SITE STREET= 1601 / UNIVERSITY RD PARCEL#= 45084.0455 ADDRESS= SPOKANE WA 99206 PERMIT USE= NEW DOUBLE WIDE MANUFACTURED HOME PLAT#= 001853 PLAT NAME= OPPORTUNITY PLAT # 2 BLOCK= LOT= ZONE= UR-3.5 DIST#= H AREA= 00000000 F/A= A WIDTH= DEPTH= R/W= 50 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = OWNER= HARTER, CARMEN PHONE= 509 238 4705 STREET= P.O. BOX 14664 ADDRESS= SPOKANE WA 99214 CONTACT NAME= CARMEN HARTER PHONE NUMBER= 509 238 4705 BUILDING SETBACKS: FRONT= 32 LEFT= 45 RIGHT= 15 REAR= 60 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING SETBACK REVIEW REQUIRED f1-`A-1743r64e0 COMMENTS: o-VZX1 ENGINEER APPROACH/ DRAINAGE/ FLOOD G Jai. 33 +�,,`:.. ,.,���►-. COMMENTS: HEALTHDIST NEW OR ADDITIONAL WASTE WATER L*4 t_ '�,E: ( i ( .)-e 3 ` C/k' COMMENTS: ****************************** MOBILE HOME PERMIT ***************************** CONTRACTOR= OWNER PHONE= YR/MAKE= 96/GUERDON MODEL= SERIAL#= WIDTH= 28 LENGTH= 52 HEIGHT= 10 ITEM DESCRIPTION QUANTITY FEE AMOUNT INSPECTION FEE 2 100.00 STATE SURCHARGE Y 4.50 COUNTY SURCHARGE Y 22.00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING PROJECT NUMBER= 96003068 APPLICATION DATE= 05/03/96 PAGE= 02 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING MANUFACTURED HM 126.50 .00 126.50 126.50 .00 126.50 PROCESSED BY: BURRIS, ROBIN PRINTED BY: BURRIS, ROBIN ******************************** THANK YOU ************************************ PROJECT NUMBER= 96003068 APPLICATION DATE= 05/03/96 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 1601 N UNIVERSITY RD PARCEL#`= 45084.0455 ADDRESS= SPOKANE WA 99206 PERMIT USE= NEW DOUBLE WIDE MANUFACTURED HOME PLATO= 001853 PLAT NAME= OPPORTUNITY PLAT # 2 BLOCK= LOT= ZONE= UR-3.5 DIST#= H AREA= 00000000 F/A= A WIDTH= DEPTH= R/W= 50 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = OWNER= HARTER, CARMEN PHONE= 509 238 4705 STREET= P.O. BOX 14664 ADDRESS= SPOKANE WA 99214 CONTACT NAME= CARMEN HARTER PHONE NUMBER= 509 238 4705 BUILDING SETBACKS: FRONT= 32 LEFT= 45 RIGHT= 15 REAR= 60 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING SETBACK REVIEW REQUIRED elDe. 1 e i2- rT'{} €50 COMMENTS: `Z� ENGINEER APPROACH/ DRAINAGE/ FLOOD 't ' /;,.,. . COMMENTS: leeHEALTHDIST NEW OR ADDITIONAL WASTE WATER ��- �i-e-- Pf .^ee/'S COMMENTS: ��E?,i�/�' - 524.47 v e /ci `Aee� ****************************** MOBILE HOME PERMIT ***************************** , . CONTRACTOR= OWNER PHONE= YR/MAKE= 96/GUERDON MODEL= SERIAL#= WIDTH= 28 LENGTH= 52 HEIGHT= 10 ITEM DESCRIPTION QUANTITY FEE AMOUNT INSPECTION FEE 2 100.00 STATE SURCHARGE Y 4.50 COUNTY SURCHARGE Y 22.00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING APPLICATION INFORMATION Cc (2:z)...__ 306 3,- %What is the J SITE address? ASSESSOR'S tax parcel number? . I (On I L NtvasITL LISCD3t1 Legal description as it appears on the property deed L • C iq e r i s,t' hal . z4 cf/z l _�z �5 y-- t-17 0 7_ OWNER orr OCCUPANT Phone U" oX )`f le J ,„/4-,4,iJ,.� Lki , 9`f,R/Y-064 y Mailing address City,late Zip Who should we contact regarding this project? Phone CAI FEL . -. e_ AS"` 417U ;J— What work is being done under this permit? . >9 � ek v>`u +Lt a %6 7n E Lone Inspector distnet Propertysize Hight of:way width • a vi) a__ ls Water district a ,:ort:li!:•..i:mumon,1,...„,:::,:::::.,.....„..„.. :,..,:::.mul,:,,,gi::::::.,;,.,,,mull!!!!mmonni,:m!iimin,:i :1,:.,.,.,,I.:::::::::.,.:::::::..::::::a:!::,:mwoomu:,.:,.:.1,.::ii,,:::;,..,..,,,,„.•:::::.:.NsoNv: .,.:„.,!.,,,,. :::,.,..„.:,.:,,,..,.. :4:::,.E:,,,:,:1,:..,,.,:::::,,..:„.i.:44.. d4 Building IBuilding 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: Length: j What is the square footage of How high is the sign? d the sign face? Year: Make:¢.,fiJ 1`?(a - ueigCto10 Installer Contractor ‘Rn i\-)(IOc x 416""Yr1 E s . Wa State Contractor license# Wa State Contractor license# Mailing address Mailing address F , 4c e5 )pn t4C- . Relocation FireSafety Previous address Fire Sprinkler _ Tent _ Paint booth_ Fire Alarm _ Fireworks display VALUE Contractor Contractor WA State Contractor license# WA State Contractor license# Mailing address Mailing address Fuel Storage Tanks i Swimmin'g Pool .. .... ...... (Circle one) Above-ground Underground Size/gallons 'Private Contents of tank(s) Size/gallons 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. OFFICE OF SPOKANE COUNTY ENGINEER 1026 W. BROADWAY • SPOKANE, WASHINGTON 99260 PHONE (509) 456-3600 PERMIT TO PERFORM WORK ON COUNTY ROAD RIGHT-OF-WAY MAY 03 1996 Permit # 96 - FNA333 CARMEN HARTER PO BOX 14664 SPOKANE WA 99214 238-4705 The applicant hereby applies for permission to CONSTRUCT RURAL APPROACH TO NEW DOUBLE WIDE MANUFACTURED HOME AT 1601 S UNIVERSITY. GRAVEL APPROACH OFF OF UNIVERSITY RD, PROPERTY IS LOCATED AT THE SW CORNER OF UNIVERSITY AND MISSION AVE IN THE SE 1/4 OF 8-25-44 Date work to start MAY 04 1996 The estimated time required for completion of the above work is 150 days which the petitioner agrees to prosecute with all dilegence and speed with due regard for the rights, interests and conveniences of the public . Petitioner further agrees to perform the work in strict compliance with the provisions enumerated below and states that he has read and will adhere to the general provisions applicable to permits contained on the reverse side of this form. The undersigned guarantees that if the backfill, street surfacing or improvement fails within two years from the date of final inspection by Spokane County, he shall pay the cost of the County for making repairs or restoration of the roadway and improvements.In consideration of the granting of this permit it is agreed by the applicant that the County of Spokane and any officer or employee thereof shall be saved harmless by the applicant from any liability of responsibility for any accident,loss or damage to persons or property,happening or occurring as the proximate result of any of the work undertaken under the terms of this application and the permit or permits which may be granted in response thereto,and that all of said liabilities are hereby assumed by the applicant. It is further agreed that if any part of this installation interferes with the future use of the highway by the general public,it must be removed or relocated as designated by the engineer at the expense of the permittee or his successor in interest. SIGNED PERMIT Subject to all the terms, conditions, and provisions written or printed below or on any part of this form. PERMISSION IS HEREBY GRANTED the above applicant to: PERFORM WORK TO COUNTY STANDARDS . INSPECTOR TO CHECK LOCATION FOR SIGHT DISTANCE, GRADE, DRAINAGE AND ADVISE. CULVERT AND BOND TO BE PROVIDED IF REQUIRED. APPROACH VISIBILITY - SIGHT DISTANCE AT THE POINT OF INGRESS AND EGRESS SHOULD BE 10 TIMES THE POSTED SPEED LIMIT OF THE ROAD. DRIVEWAY GRADES WITHIN RIGHT OF WAY SHALL NOT EXCEED 8% IN URBAN AREA, OR 2% IN RURAL AREAS . CHANGE IN GRADE : UPGRADE SHOULD NOT EXCEED 12% WITHIN ANY 10' OF DISTANCE. DOWNGRADE SHOULD NOT EXCEED 8% WITHIN ANY 10' OF DISTANCE. MAXIMUM RECOMMENDED GRADE FOR DRIVEWAY OUTSIDE RIGHT OF WAY - 12% . MAXIMUM ALLOWABLE GRADE FOR DRIVEWAY OUTSIDE RIGHT OF WAY - 14% . Permit fee $ 10 Inspection fee $ 20 Total $ 30 Paid byBLDGS This permit shall be void unless the work herein contemplated shall have been completed before OCT 01 1996 INSPECTION REQUIRED — 24 HOUR NOTICE REQUIRED Call Permit Office 456-360 to notify wh n work begins and schedule inspection. COUNTY ENGINEER •O'g DATE 05/03/96 BY It is the responsibility of the applicant to ify all utilities a P priva e property owners when such property is liable to injury or damage through the performance of the ove work and the applicant shall make all necessary arrangements relative to the protection of such property and/or utilities.Traffic control signing and barricades shall be furnished by Permittee in strict conformance with"Manual on Uniform Traffic Control Devices".This permit must be available on the work site and is valid only for the dates shown above. iTn iTY nAMAGE IS COSTLY— CALL BEFORE YOU DIG —456-8000 . INSTRUCTIONS FOR APPLICANTS Applicants for permits to occupy county property with utilities,or holders of granted franchise rights contemplating work upon,along,over,under or across any county road, bridge, wharf,trestle, public place,street,avenue or alley on property in the County. shall first file with the County Engineer his or their application to do such work. Such applications shall be in triplicate and accompanied by drawings,also in triplicate if required by the County Engineer.Drawings shall be to a working scale showing position and location of work,names or numbers and width of roads.streets.etc..showing their location in plats;or subdivisions of sections, township and range,showing the relative position of such work to existing utilities constructed,laid,installed or erected upon such roads,streets or public places. The applicant shall specify the type of construction by submitting plans showing the class of material and the manner in which the work is to be accomplished. All such materials and equipment shall be of the highest quality and the manner of excavation,fills, construction,installation,erection of temporary structures, traffic turnouts, road obstruction, barricades, etc., shall meet with provisions of the County Utility Accommodation Policy (WAC 136.40) and shall meet approval by the County Engineer. Signs. barricades and traffic control in the vicinity of the work shall strictly conform to provisions of"The Manual on Uniform Traffic Control Devices to Streets and Highways."The applicant shall pay to the County all costs of and expenses incurred in the examination. inspection and supervision of such work on account of the granting of said permits. The actual location of the work to be done under this permit,its depth below or above surface or grade of any County structure,road,street,avenue,alley or public place shall be approved by the County Engineer before any work shall be done by the petitioner. PERMIT CONDITIONS 1. The petitioner designated herein as the"grantee", his successors and assigns,shall have the right and authority to enter upon the right of way of the County road. street, alley, public place or structure as indicated on the front of this form, for the purpose of doing such work as applied for, and approved by the County Engineer, 2. The location,type of work.materials and equipment used,manner of erection or construction,safeguarding of public traffic during work or after doing same, mode of operation and manner of maintenance of project petitioned for, shall be approved by the County Engineer prior to start of work and shall be subject to the inspection of the County Engineer so as to assure proper compliance with the terms of this permit. 3. The grantee shall commence work within one (1) week after the granting of this permit. If at the end of stated completion date grantee shall have not completed the installation,then the rights herein conferred shall cease and terminate,Grantee will then be obliged to apply for a new permit if work is not accomplished within allotted working days. 4. The grantee shall leave all roads,streets.alleys,public places and structures after installation and operation or removal of utility,in as good and safe a condition in all respects as same were in before commencement of work by grantee. 5. In case of any damage to any roads,streets.public places,structures,or public property of any kind on account of said work by the grantee,he will at once repair said damage at his own sole cost and expense. 6. The County Engineer,his agents or representatives may do,order,or have done any and all work considered necessary to restore to a safe condition any street,alley,public place or structure which is in a condition dangerous to a life or property resulting from the Grantee's facility or its installation as permitted herein,and upon demand the grantee shall pay to the County all costs of such work and material. 7. If at any time the County deems if advisable to widen,grade,regrade,plank,pave,improve,alter or repair any road,street,public place or structure,the grantee upon written notice by the County Engineer,his representatives or agents,will at his own sole cost and expense,raise,lower,change,move or reconstruct such installations to conform to the plans of work contemplated or ordered by the County. 8. If upon written notice by the County Engineer the grantee fails to relocate any portion or all of the project as granted under this permit,the County,its agents or representatives may do any work at the cost and expense of the grantee,and all costs to remove or reconstruct same,shall be borne by the grantee. 9. All such changes, reconstruction or relocation by the grantees shall be done in such manner as will cause the least interference with any of the County's work and shall be subject to the same provisions which control an original installation. The County shall in no way be held liable for any damage to the grantee by reason of any such work by the County, its agents or representatives or by the exercise of any rights by the County upon roads, streets, public places or structures in question. The grantee shall have twenty-four (24) hours written notice by the County Engineer or his representatives or agents of any blasting contiguous to the grantee's permit rights in order that he may protect his interests. 10. This grant or privilege shall not be deemed or held to bean exclusive franchise,nor prohibit the County from granting other permits or franchise rights of like or other nature to other public or private utilities,nor shall it prevent the County from using any of its roads,streets,public places for any and all public use,or affect its jurisdiction over all or any part of them. 11. All the provisions,conditions,regulations:and requirements herein contained shall be binding upon the successors and assigns of the grantee and all privileges of the grantee shall inure to such successors and assigns as if they were specifically mentioned. 12. The County Engineer may revoke.annul or terminate this permit if grantee fails to comply with any or all of its provisions,requirements or regulations as herein set forth or through willful or unreasonable neglect, fails to heed or comply with notices given him or if the work herein permitted is not installed or operated and maintained in conformity herewith or at all. 13. The Board of County Commissioners may at any time,change,amend,modify,amplify or terminate any of the conditions herein enumerated so as to conform to any state statute or county regulation pertaining to the public welfare,safety, health or highway regulations as are or may hereinafter be enacted,adopted or amended,etc.The Board may terminate this permit if grantee fails to comply with any such changes. 14. Petitioner by accepting this permit agrees to notify and check with all utilities regarding their installations before commencing work, together with private property owners when such property is liable to injury or damage through the performance of such work, and the applicant shall make all necessary arrangements relative to the protection of such property and/or utilities. 15. In accepting this permit the petitioner, his successors and assigns agree to protect and save harmless the County from all claims,actions or damages of any kind,and description which may accrue to or be suffered by any person or persons,corporation or property by reason of the performance of any such work. character of materials used or manner of installation, maintenance and operation or by the improper occupancy of right of way or public place or public structure,and in case any such suit or action is brought against said County for damages arising out of or by reason of any of the above causes,the petitioner.his successors or assigns will upon notice to him or them or commencement of such action defend the same at his or their sole cost and expense and will fully satisfy any judgment after the said suit or action shall have finally been determined if adversely to the County. , ADDRESS: S . )bai UN,1\1•E.e..6 ITL- , 7014F OAD WIDTH-. 450 00 • , PROM. 37,-. 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