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Home My WebLink About2009, 06-26 Permit App: 09001921 MHPERMIT NUMBER: PERMIT FEE: p ` } `r 11707 E Sprague Ave, Suite 106 Spolane Spokane Valley, WA 99206 Y-d y (509)688 -0036 FAX: (509)688-0037 Community Development ww-w.spokanevalley.ortr Manufactured Home Permit Application OTHER SITE ADDRESS: e. 6.-104 ?/ll - i ` 3 o f �. cJ w) /V �N . I, ASSESSORS PARCEL NO 5 )SS3 F; LEGAL DESCRIPTION: All P Building Owner: Name: Volk . l ue', nrJS /%) .54. -; � r jneod tx: Lu- Address: x.7'1 3 - f arru:�' Name: -e/ve, ? + ' Q ` E'1 Ci Phone: , 5O 7s 3 "7)97 13 Address: Contractor Lic No: Exp Date: i:t✓� /►V", '2.1 h`�' (To se, 5e, ,-he / City Business Lic. No: City: State: Zip: Phone: sCi.Z _ f 57 Fax: Contact Person Name: ) coey4S 3 JZ Describe the scope of work in detail: Contractor: Name: Volk . l ue', nrJS /%) .54. -; � r jneod tx: Lu- Address: x.7'1 3 - f arru:�' City: 5/44612-Air i,) 1 State: 4 `�` Zip:%C,, ,, Phone: , 5O 7s 3 "7)97 13 Contractor Lic No: Exp Date: i:t✓� /►V", '2.1 h`�' (To se, 5e, ,-he ') City Business Lic. No: MANUFACTURED HOME Width: % Length: („6, Year: Cc" Pit Set: eg: Sepfx Se- wer: Manufacture: 1/4-1/4-,i ,,64 / /i-» -o s Previous Address: /Um_ Proposed Use: / 5iz i..„.ke d The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a dwelling, the dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional information may be required to be submitted, and subsequently approved before this application can be processed. Signature 1 Method of Payment ❑ Cash Bankcard #: ,142zey Authorized Signature: REVISED 823/1005 ❑ Check ❑ Mastercard Expires: Date ❑ VISA VIN #: Jug 7&i 2067 RECEIVED BY CITY OF SPOKANE VALLEY ' Project Number: 09001921 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 7/2/2009 Page 1 of 2 Project Information: Permit Use: SET NEW 2009 26 X 66 VALLEY QUALITY HOME Contact: VALLEY QUALITY HOMES Address: 17123 E SPRAGUE AVE C - S - Z: SPOKANE VALLEY, WA 99016 Setbacks: Front Left: Right: Rear: Phone: (509) 927 -7472 Group Name: Site Information: Project Name: Plat Key: Name: Range District: East Parcel Number: 55083.9066 Block: SiteAddress: 19304 E BALDWIN LN Location:: CSV Zoning: R -4 SF Res Urban District Lot: Owner: Name: MISSION MEADOWS LLC Address: 15918 E CAMERON CT SPOKANE VALLEY WA 99037 Water District: 134 CONSOLIDATED ID #19 Hold: ❑ Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Review Building Plan Review Released By: SET PER MANUFACTURED SPECS Originally Released: 6/29/2009 By: JLMain Landuse /Zoning/HE Conditions Permits: Released By: Originally Released: 7/2/2009 By: mharnois Contractor: OWNER Item Description INSPECTION FEE Manufactured Home Firm: OWNER Phone: (000) 000 -0000 Units Unit Desc 2 # SECTIONS Operator: jmm Printed By: jmm Fee Amount $100.00 Permit Total Fees: $100.00 Print Date: 7/2/2009 Project Number: 09001921 Inv: 1 Notes: Application Date: 7/2/2009 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary: Permit Type Manufactured Home Fee Amount Invoice Amount Amount Paid Amount Owing $100.00 $100.00 $0.00 $100.00 $100.00 $100.00 $0.00 $100.00 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and /or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: jmm Printed By: jmm Print Date: 7/2/2009 Project Number: 09001921 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/29/2009 Page 1 of 2 Project Information: Permit Use: SET NEW 2009 26 X 66 VALLEY QUALITY HOME Setbacks: Front Site Information: Plat Key: Left: Right: Rear: Name: Range Contact: VALLEY QUALITY HOMES Address: 17123 E SPRAGUE AVE C - S - Z: SPOKANE VALLEY, WA 99016 Phone: (509) 927 -7472 Group Name: Project Name: District: East Parcel Number: 55083.9066 Block: Lot: SiteAddress: 19304 E BALDWIN LN Location:: CSV Owner: Name: MISSION MEADOWS LLC Address: 15918 E CAMERON CT SPOKANE VALLEY WA 99037 Zoning: R -4 SF Res Urban District Water District: 134 CONSOLIDATED ID #19 Hold: ❑ Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Review Building Plan Review Released By: Landuse /Zoning/HE Conditions Released By Permits: Contractor: OWNER Item Description INSPECTION FEE Manufactured Home Firm: OWNER Phone: (000) 000 -0000 Units Unit Desc 2 # SECTIONS Fee Amount $100.00 Permit Total Fees: $100.00 Operator: jmm Printed By: jmm Print Date: 6/29/2009 • Project Number: 09001921 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/29/2009 Notes: s ,: .. , traMtiarMa. Payment Summary: Permit Type Manufactured Home Page 2 of 2 v m A c Viz: .. wx-- ,vane^,,,: t om - ra,,,, ,,. ..2,�"� .K .,r,. "�..:.. • Fee Amount Invoice Amount Amount Paid Amount Owing $100.00 $100.00 $0.00 $100.00 $100.00 $100.00 $0.00 $100.00 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: jmm Printed By: jmm Print Date: 6/29/2009 1E10 TS ea Emml Oz a� oMo 0 as a 4.0 as tes ^C auvI aaVu9 BALDWIN LANE 85'