BROADWAY E 6304 WILLIAMS EQUIPMENT MOBILE HOME
BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTAND
.
(Please return this orig{nal and your building plans to the Department ot Building and Satety)
t Ownor's Name (last) (f irst) (m) pepartme~nt Use Only
IJ:CLLIAr1S EQUIPMENT C0. Aes. 1Comm
2 Project Address (not Maiting Address) or Road Narrte Space Zlp
E 6304 Broadway Box 3067 99220
- 3 Gty/Community scace SubdivlsionlPlat Neme g 1 o c k 17 E a s S p o ka n~
Spu~.ane Wa Block 9 Springstea~ Subdivisio
4 Assessor Parce! No. Lot Block
13 5 3 3- O 101 TO 13 5 3 3- Q 1 0 9 * DEPARTMENT USE ONLY *♦~r
11111~ kmi
5 Sfc Cade Zone Act. If a Project No.
6 Dwell N No. of 8uildtngs ~J Sq. Ft./ACre U Depth FronlaAe
7 Set Back-Ftont (L)S-1 (R)S-2 Rear Gensus Tract Module No. Initials
* 16 ArdhItect Flrm Name Street Addresa *
Westwood Tndustries, Inc Box 1327
Zip Clty State PNone
98532 Chehalis Wa ~ 206~ 748 0267
Contect Person Phone If different than above
H.enry Miester
Cbntrectar Flrm Name Street Addreea
5ame above
Zip Gty State Phone
~ I
Contect Pereon License No. Phone It different than above
( )
8 Owner/ Agent ((t different then M1 ebave) Buslness Address
Weco Leasing, Inc. N 520 Dyer Box 3067
9 Zip Clty State Phone
99220 Spokane Wa ( 509 534 2643
12 Reviow Required Plan Check (YIN) Other (YIN) SEPA Exempt (Y/N) Date
15 Type Work Cl 81dg BtX MH D New ❑ fieplace O Other
❑ Flre p Oemo C' AddlAlter r"
Move
14 Describe Work
Mcl8i ~ r 0M IF, r Ff v US:FD ~ CK-. ~i C~F, ~
10 Appllcant Name Street Address
R Nzal. Williams, Wi].liams Equipment Co E 6420 Broadcaay Box 3067
~ 11 Zip City State Phone
99220 Spokane Wa (509 ~ 534 2643
* Lender Street Aqdress ~
We::o Leasing, Inc N520 Dyer
Zip 99220 ciry Spokane st~a ~'0~~09 )534 2643
Contact Person Phone i( different than above
R Nea 1 4tifi11 iams
Addltional Information
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DEPARTMENT APPROVALS
This is not a Permit
Application Type
(Standard unless (Indicated approvals requlred In either "release" or "release with conditions" otherwise indlcated) space prior to permit issuance.) ,
Fast Track Release
Early Start Release w/cond 1 Nold 2
Envlronmentel Health n Commercial; CJ Residentlal
W.1101 College p New Construction; P- Bldg alteration/addition
Room 2Q0 C~ Addikional structure;
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APPLICATfON #
5
ConditlonslComments:
~ Planning/Zoning: O Commercial; 0 Cert. of Exemption; O Frontage;
N. 721 Jefferson O Setbacks; L-J lot w/d; O lot size; D use/zone; ~
❑ CU, variance, zone change; shoreline; O fence;
❑ Other ' ~ `
Conditi slGomments: _Q~ E. ~~~-~r`~-~ ~0 J
f 0~i Ar ri--~ Ct ~ 7t 7 ~ ,
r
~ Engineera: 19 Commercial; O Fdesidential; O Flood Piain;
N. 811 Jefferson O drainage D new accesslapproach; O fence;
O road improvements
ConditionslGomments: '
~
0 Utllities:
N. 811 Jefierson Conditions/Comments:
a Other.
0- Plan Exam
Ftre Prev.
Conditions i Comments:
a
co
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Project Representative Telephone
lu
n, Agencies Performing Special Inspection:
N c 1,
Y O
V ~
E
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3.
1 Indlcate above or attech conditlons relative to itnal as bullt approval
2 Indkate above or attach reasons tor hold
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Yhotie a . Phuiie County Coiitact Persuu Phone No. 456-36uo
CUMMEkCiAl, BU[t.iaLtvc; PEttrtl'f Kr.viEw
This buildLng per►niz review i5 intended Co dppraise you of the impruvements (ruadway, side-
walk, curb, stormwaCer, etc.) which mubC be cunstructed in associattvn with your buiiding
permit. This checklist will be filled out hy the Engineer's staff and a copy will be re-
turned to you at the time that the permit is initialed by the Engineering Department. All
requirecnents shell be completed prior to issuance of the building permit. All unchecked
boxes reQuire additional research or information to make a determination.
1. Stormwater Draina e, Considerations
IL. Per gueT~nes tor "lotormwater Management 1981" both on and off site.
1. 208 Considerations* Li Yes ri No
2. F1.ood hazerd zone considerations** ti Yes Li No
3. Storm Drainage Plan Li Yes ~ No
II. Plannino Action #
1. Rezone, Conditional Use or Variance on property Li Yes ~ No
2. Are requirements of planning action incorporated ti Yes a No
inCo eite plan
III. !Ijht of Way
1. Does permit neceseitate R.O.W. dedication Li Yes ~ No
2. Did zone change require R. O. W. dedication ti Yes ~ No
3. Radiue at corner Li Yes ~ No
IV. County Road Improvementa
1. Roads need to be improved. How wide Li Yes ~ No
2. Curb Li Yes ~ No
3. CRP/RID agreement (Copy of deed, contract, or Li Yes ~ No
title report required.)
4. Plans for improvemen[s provided Li Yes ~ No
5. Sidewalk ~ Yes ~ No
V. Parking Plan S Approach Location
1. Review and sign off by Traffic ~ Yes ~ No
2. Approach Pe rini t Erom Eng inee r' s Of f ice ~ Yes ~ No
3. State or Cicy sign off ~ Yes ~ No
4. Ts this ruad on 6 Year Plaii ~ Yes a No
VI. ULIt) A8reement: a Yes ~ No
Vl.Y. Field Review: Prelimliiary Ct-)mrnerits
* All l.and wiCtiin tlie Aqiiit'zr. Se(tSLtive 4rcit, wlter'k doemed fi-.isihle i)y 11tt- (;()iinty t';nki-
neec, shal.l {ncc)rpor:atc stormwiittr treat'me►tt- Cc~ mir.igale Che pt)Ccilri.il to~r 9i'~~~indWater
deg ra ria Cj_c) n. (S)oe (_.41i ci'-.t i►les Ecir SC,srmw,iL(!C Maiiaf;e-ment 1981, 5pt,>k.int• 1st),irL1 ot CotiiiC y
Cominf ssi o>iec ` s Nn. 80-I 59-1, is .ame,i,jt!(1. )
1'he EMc~JW;1• 1 t +AO( )il 11,1 .:,ircl /oiit- r,-vit-w i:-y to~ rnfnimize diw t,) ( I~►~~,iii~;; itl tipo-
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