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1995, 09-29 Permit App: 95007871 MH PROJECT NUMBER= 95007871 APPLICATION I DATE= 09/29/95 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 15112 E VALLEYWAY AVE PARCEL#= 45144 . 1320 ADDRESS= SPOKANE WA 99216 PERMIT USE= SINGLE WIDE MANUFACTURED HOME RELOCATION PLAT#= 002757 PLAT NAME= VERA BLOCK= LOT= ZONE= UR-3.5 DIST#= F AREA= F/A= A WIDTH= DEPTH= R/W= 60 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = OWNER= GRAY, LORALEE PHONE= 509 928 6339 STREET= 1511 N PINES RD ADDRESS= SPOKANE WA 99206 CONTACT NAME= LORALEE GRAY PHONE NUMBER= 509 928 6339 BUILDING SETBACKS: FRONT= 86 LEFT= 39 RIGHT= 25 REAR= 20 ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT BUILDING L & I PERMIT COMMENTS: BUILDING SETBACK REVIEW REQUIRED COMMENTS: ENGINEER APPROACH/ DRAINAGE/ FLOOD ��� t}"p-744 COMMENTS: HEALTHDIST NEW OR ADDITIONAL WASTE WATER COMMENTS: PLANNING UNPLATTED/SEGREGATED PROPERTY OK SCE CC b3 4-i 95.8 COMMENTS: f� Mak/6D 9 9-95 . ' PROJECT NUMBER= 95007871 APPLICATION DATE= 09/29/95 PAGE= 02 ****************************** MOBILE HOME PERMIT ***************************** CONTRACTOR= OWNER PHONE= YR/MAKE= 93/GOLDEN WEST MODEL= SERIAL#= WIDTH= 14 LENGTH= 66 HEIGHT= 10 ITEM DESCRIPTION QUANTITY FEE AMOUNT INSPECTION FEE 1 50. 00 STATE SURCHARGE Y 4 .50 COUNTY SURCHARGE Y 9.50 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING MANUFACTURED HM 64 .00 . 00 64 . 00 64 . 00 . 00 64 . 00 PROCESSED BY: BURRIS, ROBIN PRINTED BY: BURRIS, ROBIN ******************************** THANK YOU ************************************ /.5APPLICATION INFORMATION C)1S- -7(r7 What is the JOB SITE address? ASSESSOR'S tax parcel number? E 4, W 4t4/. X516/4-, �� Lep description as it appears on the r 5 rty21 'Zoo b F C.� F ` ,W,)Z O( VAL N , )Z of `rT-� � -[-RAC e9 OF Ve-r2A A5 P R PLAT T -D „ ruA7s pA(9 3v OWNER or OCCUPANT Phone 1,0 rZ A2$- (0339 Mailing address S Ur-re: 3 I G City,state Zip L ) t N PI 'oAD e- F0K-AN- v)A ,0) ,' Who should we contact regarding this project? Phone AoV->: What work is being done under this permit? T ;I N L71- VA.IJ U l=A C-` U ie D r A Gone Inspector distract Property size Right of way width � f m Water district a-. D 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: Length: What is the square footage of How high is the sign? I 4- I 1.0/ 1 the sign face? Year: Make: )S93 beu7-61\) Wffi7 Installer Contractor Wa State Contractor license# Wa State Contractor license# Mailing address Mailing address Relocation Fire Safety LL 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 Swimming 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. APPLICATION FOR CERTIFICATE OF EXEMPTION APPLICATION NO. C-1% C.03 Y -qs"- J COMPANION FILE NO. Business Phone: 1. Applicant's Name: Irvin & Patricia Lissy Home Phone: 97R-6339 Address: E. 15114 Valley Way City: Veradale, State: WA Zip: 99037 2. LEGAL DESCRIPTION of property for which this"Certificate of Exemption"is being applied: NOTE: if the property is being divided or changed- - -provide the NEW LEGAL DESCRIPTION below. Section _ 14 Township 25 Range 44 within Spokane County,Washington. Parcel "B" The Past 2/5 of the West 1/2 of the North 1 /2 of Tract 58 of VERA. as per Plat thereof recorder] in Volume "n' t)f Plats, page 10. Except the North 200 . 00 feet thereof. . continued coback 3. Existing tax parcel number(s) 45144.1120 4. Total existing acreage 1 R.44-ti s q.ft-. 5. New property size:(sq.ft.or acres) 15.574 s_q..f t. 6. Zoning: irn 3 5 7. Comprehensive Plan Category: 8. Existing or intended use of property: Residential . continued on back 9. Existing road frontage name: Valley Way 9 5 0 91 4 0 3 7 5 Feet of Frontage 80 ' NOTE: Minimum Road Frontage must extend into or be adjacent to the property as required per ZONING. If access is by Private Road,a copy of recorded Private Road Easement must be provided with this application and the AUDITOR RECORDING NUMBER entered as "Existing road frontage name"above. 10. I, Trvin & Patricia Lissv (print name), swear under penalty of perjury that the above responses are made truthfully and to the best of my knowledge. I also agree to furnish any further documentation that may be required by the Planning Department. I also understand that, should there be any willful misrepresentation or willful lack of full disclosure on my part, Spokane County may withdraw any approval that it might issue in reliance on this application. I also have provided written permission from both property owners, if this pplicatio is for a "minor lot line adjustment." SIGNE . Ly, Serp6 14/ /99S- ' 9r S _ licant f Date ---=--._ STAFF ONLY -- THE PLANNING DEPARTMENT ISSUES THIS "CERTIFICATE OF EXEMPTION" AS INDICATED BELOW FOR THE PROPERTY DESCRIBED A OVE, PURSUANT TO SPOKANE COUNTY SUBDIVISION ORDINANCE, SECTION 3CA , 3. , THIS CERTIFICATE OF EXEMPTION SHALL BE SUBJECT TO THE FOLLOWING CONDITIONS AND/OR FINDINGS: The applicant shall comply with all requirements and regulations of the ZONING CODE of Spokane County. 11} The applicant shall comply with all requirements of the Spokane County Health District and/or Utilities Division and/or County Engineering Division regarding wastewater disposal,on-site water or public water systems and access and roads,respectively. . If above legal is new,the applicant shall file SEGREGATION APPLICATION with the County Assessor as soon as possible after this application is approved. Not required when denied. 7) If private road is used,no building permit can be issued until the standards Chapter 3.05.050 of the County Code have been complied with for the location and construction of the private road. 5. The applicant shall comply with the following additional conditions: .continued on back 6. THIS,„.CER CATS OF EXEMPTION IS FOR AND SHALL RUN WITH THE LAND, AND SHALL BEI�G( A L TO THE APPLICANT OWNER,HEIRS SUCC SSSyRS OR ASSIGNS. �i / \ • THIS 21. 1- APPROVEDDAY OFtS4)IK-fir , 19 l5-- S Y Ct/11/1!: Pt.t,l,'1,,(A/ RECEIPT NUMBER - DATE Spokane County Planning Department THIS CER I II-ICATE OF EXEMPTION ISSUED BY SPOKANE COUNTY,WASHINGTON SPOKANE COUNTY PLANNING, 1026 W.BROADWAY,SPOKANE,WA 99260 (509)456-2205 TIES CER'IniliqCATE MUST ACCOMPANY YOUR BUILDING PERMIT APPLICATION 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 SEP 29 1995 Permit # 95 - FNA822 LORALEE GRAY 1511 N PINES SPOAKNE WA 99206 928-6339 The applicant hereby applies for permission to CONSTRUCT RUAL APPROACH AT 15112 E VALLEYWAY E OF PROGRESS RD S OF VALLEYWAY. 45144 . 1320 FOR MFG HOME RELOCATION. Date work to start SEP 29 1995 The estimated time required for completion of the above work is 120 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 . AND IN COMPLIANCE WITH APPROVED PLAN ON FILE IN COUNTY ENGINEERS OFFICE.APPROACHES MUST BE LOCATED AS SHOWN ON APPROVED PLAN ON FILE IN COUNTY ENGINEERS OFFICE.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 byBLDG This permit shall be void unless the work herein contemplated shall have been completed before JAN 27 1996 INSPECTION REQ 'ED — 24 HOUR NOTICE REQUIRED Call Permit Office 456-3600 to .tify when work b-• ns and schedule inspection. COUNTY ENGINEER BY Suzanne Jennen /_ Ae,, y/,/ / DATE 09/29/95 It is the responsibility of the appli ant to notify all util ies• d private pr. 'owners when such property is liable to injury or damage through the performance of the above work a . 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. I ITn ITV nAMAnF 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 he in triplicate and accornparned 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, roar, 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 Uniforrn 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 he approved by Inc County Engineer before any work shall be done by the petitioner. PERMIT CONDITIONS 1. The petitioner designated lic,‘Jr.rin as ttie'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 he 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 he 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 he 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,safely, 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. iOct „m„„, E... 3 SPOKA Cotte Public Works Department- Division of Engineering and Roads (Note: In this brochure approach is defined as access to a county road.) Where is the approach located? Maximum allowable grade for driveway out- It is located between the actual physical side of right of way- 14%. existing road, gravel or asphalt, and your prop- See Handout B-17, "Private Driveway erty line. There is unimproved county right of Standards", for driveway grades and other way where the future approach to your drive- standards for driveways on private property way will be located. (or outside the right-of-way). Is there more than one type of Will I need a culvert for drainage? approach? Some rural approaches will need a cul- There are two types of approaches, urban vert. The right of way inspector will advise which includes curb and rural which has no the permit section as to what size will be re- curb. quired and you will be notified by mail. A 12 inch diameter is the minimum size culvert al- Why do I need a permit for a rural approach? lowed, occasionally a larger size in diameter is A permit is required for a rural driveway specified. so that the county may inspect your approach Is any type of culvert acceptable? for sight distance, grade and drainage. No, only galvanized 16 gauge is accept- What is required for sight distance? able. Plastic and concrete culverts do not Sight distance at the point of ingress (en- meet county standards. try) and egress (exit) should be 10 times the May I install the culvert myself? posted speed limit of the road. For example, if If you wish to install the culvert or you hire the posted speed limit is 35 MPH, then you a contractor that is not bonded and insured with would need 350 feet of sight distance in both Spokane County to do the work then it will be directions, 45 MPH would need 450 feet, etc. necessary to leave a cash surety in lieu of What grades are acceptable? a bond.The check will be deposited in an Driveway grades within the right of way account and will be refunded to you after the in rural areas should not exceed 2%, upgrade county approves the final inspection. should not exceed 12%within any 10 feet of Do I need to place gravel on the distance. Downgrade should not exceed 8% approach? within any 10 feet of distance. Maximum rec- Crushed rock will be required. 5/8 minus ommended grade outside right of way- 12%. is the largest size allowed in the right of way. A smaller size is also acceptable. On the I have trees and shrubs on both sides private portion of your driveway, you may of my future approach. Will this be a use any size. problem? Why is the crushed rock on the Trimming or removing trees and shrubs approach limited to 5/8 minus? will be a requirement if they are creating a Eventually some of the rock will work sight distance problem. its way out into the county road and be My neighbor claims that a portion of picked up in tires, any larger size would my future driveway will be on his crack windshields. property. Can the inspector verify In a rural area without landmarks or this? buildings on the property, how does This is a civil matter and does not come under the county's jurisdiction. the inspector know where my driveway will be? How should I design my approach? When you apply for an approach permit See handout Rural Road & you will receive some flagging and be asked to Driveway Approaches stake and flag your future approach where it meets the county road. This will confirm to the How much cover do I need on the inspector that he has the approach described on culvert? See handout Pipe Compaction the permit.Ifyou neglect to flag the approach, and Backfill you may be required to perform unnecessary right of way construction. What do I need to bring with me in order to obtain an approach permit? How close to my property line may I ` A legal description, parcel number or an have the driveway? No driveway shall be located closer than Assessor's map. seven and one-half-feet from any property line. Am I allowed to take out a permit for a friend or relative? How wide should the approach be? Yes, but be advised that the person sign At the time of this printing the fire district ing the permit is the one responsible for requests a 20 foot wide approach in order to completing the requirements. accommodate an emergency vehicle.This is under review and may change in the future. Check with the Division of Buildings prior to scheduling a contractor. (See 13-17, "Private Driveway Standards", for driveway widths on private property(or For information or an appointment contact: outside the right-of-way). Spokane County Public Works Dept. Division of Engineering and Roads Do I need an approach permit if I 1026 W. Broadway Avenue want to modify an existing approach? Spokane, Washington 99260-0170 A permit is required if you plan to widen (509) 456-3600 an existing approach or to change the drive- way to a new location on your property. SPOKANE COUNTY PRINTING DEPT. (ENG3) 394 • i • I IN �� I IF YOU CANNOT INSTAR THIS SYSTEM ACCCORDINO - - • - `_.-" • TOTHIS APPROVED PLAN, YOU MUST CALL'THE;OFFICE I � 1 _ _ .: PRIOR TO. INSTALLATION. 1_ � -1 ' ! i II II i- -! I t I TYPE dF SE14lAGE :PI; anar�s_:.. , _�►_ I !- ` • -�- TLlEI1 .OR SQUARE FOOTAGE ' i • I I ;REICH WIDTH: , . lE - PTH FROM ORIGINAL GRO D SURFACE TO BOTTOM I, i ,- 1 I--- ' ... :-0 - �d- i IOF S_EWACE SYSTEM:- -rZ �2._41ff . frit�/ / ----- - ;- — =- - - $TiR A.n. j^ f i - 1 I ¶'! ° 111I48D86 ,__ ._ ! I •--i--- _ ._-.__. _.. - --- ATP294-SWPE - j CO. 1 i - -. _._• _� 1 ZOX$v -.. ` \ - 7. VAP . ,_ 1 _1 . 1 ' 1— *4.'r� S - _ , 1 i l I I , 1 i • __ 1 l 1 1 1i . • �,- • A 03M31 3 i ? CIT 1 , . t_ _ _ '_ _ ;• !---.-1-----1` , - -} + 1 SIN WW0� , I1 i 1 i 1 11, , : Oat :H.OIM OVOID _. . I �-. ! : . , 1 1. I ' : S Y) '3N OZ, • • ' ' - -- . 09• 945"*.n. — . . 9 FSI ' , . . •• "industries prnI!rERAT1ON PERMIT .Structures Section NON Do not complete shaded areas TIONS: emit# 56863 _omplete all spaces,including the signature box(marked with an X). 2. Draw a map on reverse side of WHITE copy only. Invoice# 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 15 days. Insignia# Owner last name first name Day time phone1 Date I 1 ;i' Address 1 t ,t' 1 City State i ZIP i + • i I Installer/Contractor/Dealer PhoneContractors registration number ' i. I } JI Address �� ` � City State ZIP+4 1 4 /' p r Check the appropriate boxes in section A and section B. FEES AB Alteration Inspection(check appropriate boxes ❑ Commercial Coach Libelow) $75,00 sepal No Air Conditioning/Heat Pump Pplr. • Electrical Mobile HomeElectrical AppliagceRARTMENT OF LABOR &INDUSTRIEti s , , Fire Safety Serial No. Gas Furnace l ,Ep 2 91995 71fk'''1 Gas Piping REGION 0 BUD No. Plumbing SPOKANE, WA Structural 121Recreational Vehicle or ❑ Park Trailer Wood/Pellet Stove — — serial No. Serial No. Plan Review $70.00 RV Inspection $70.00 Model No.or Plan Approval No. Original1 t PP Reinspection No. $50.00 Technical Inspection $50.00/hr '-""%: cignature of applicant or authorized representative Make check payable to: Dept.of Labor&Industries- ,.•._ FEES DUE $ /' ' ,�. artment use only Request approved or ❑ Request denied because of specific violations of Washington rules and regulations. Violations must be corrected and reinspection requested within 10 days for recreational vehicles and 20 days for mobile homes and commercial coaches of the notice of violation date. (This does not apply to technical inspections). 'It is unlawful to offer for sale, rent,or lease any non-complying mobile home,commercial coach or recreational.vehicle. • ❑ Included are forms required which must be completed and fees submitted before reinspection. (I)atc Arca office Inspector Total pages F622-012-000 alteration permit 4-95 White-Olympia Green-Contractor Canary-Inspector Pink-Purchaser Goldenrod-Purchaser • • ADDRESS: - I I a JAL y,u ,_c ,_uc ZONE: tJ f 5 Y ROAD WIDTH: (oO FRONT % FLANKING,_.".. COMMENTS: .=VIEWED BY. P2oposed Mob,k- r