2007, 05-15 Permit App: 07001638 MH• C
Project Number: 07001638 Inv: 1 Application Date: 5/15/2007 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: 2007 FLEETWOOD 26X68
Contact: ALL SEASON EXCAVATION
Address: P.O. BOX 14978
C - S - Z: SPOKANE, WA 99214
Setbacks: Front 25 Left: 11 Right: Rear:
Phone: (509) 922-4135
Group Name:
Site Information:
Project Name:
Plat Key: Name: Range
District: Nort
Parcel Number: 45063.2510 Block:
Lot:
SiteAddress: 3704 N CENTER RD
Owner: Name: RAWSON, DONALD F & SHIRLEY
Address: 3626 N CENTER RD
Location:: CSV
SPOKANE, WA 99212-1918
Zoning: UR -3.5 Urban Residential 3.5
Water District: 002 ORCHARD AVENUE
Hold: ❑
Area: 11,290 Sq Ft ' Width: 0
Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Landuse/Zonin /HE Conditions
g
sg
Originally Released: 5/11/2007 By: tschmidt
Permits:
Contractor: ALL SEASONS EXCAVATION
Address: PO BOX 14978
SPOKANE, WA 99214
Item Description
INSPECTION FEE
Manufactured Home
Firm: CLAY CLACEY/ALL SEASONS EX
Phone: (509) 922-4135
Units Unit Desc Fee Amount
2 # SECTIONS $100.00
Permit Total Fees: $100.00
Operator: JD Printed By: JD Print Date: 5/15/2007
Project Number: 07001638 Inv: I Application Date: 5/15/2007 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
J
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Manufactured Home $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: JD Printed By: JD Print Date: 5/15/2007
Project Number: 07001638 Inv: I Application Date: 5/7/2007 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: 2007 FLEETWOOD 26X68 Contact: ALL SEASON EXCAVATION
Address: P.O. BOX 14978
C S - Z: SPOKANE, WA 99214
Setbacks: Front 25 Left: 11 Right: Rear: Phone: (509) 922-4135
Group Name:
Site Information: Project Name:
Plat Key: Name: Range District: Nort
Parcel Number: 45063.2510 Block: Lot:
SiteAddress: 0 N ADDRESS UNKNOWN RD Owner: Name: RAWSON, DONALD F & SHIRLEY
Address: 3626 N CENTER RD
Location:: CSV SPOKANE, WA 99212-1918
Zoning: UR -3.5 Urban Residential 3.5
Water District: 002 ORCHARD AVENUE Hold: ❑
Area: 11,290 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review 1,2
Landuse/Zoning/HE Conditions , Released By�<
Permits:
Manufactured Home
Contractor: ALL SEASONS EXCAVATION
Address: PO BOX 14978
SPOKANE, WA 99214
Item Description
INSPECTION FEE
Firm: CLAY CLACEY/ALL SEASONS EX
Phone: (509) 922-4135
Units Unit Desc
2 # SECTIONS
Permit Total Fees:
Fee Amount
$100.00
$100.00
Operator: JD Printed By: JD Print Date: 5/7/2007
Project Number:
Notes:
07001638 Inv: 1 Application Date: 5/7/2007
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Page 2 of 2
PaymentSummary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Manufactured Home $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. Sub§equent,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 of of any other state or local laws or ordinances.
Signature:
Operator: JD Printed By: JD Print Date: 5/7/2007
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Engineer's Computation Pad
BASO_1,l{4'A�OArIAC.,
�'® P.O. lox 14978
Spokane, NA 98214
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DATE:
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Sc��� (xpokane
,.;,oOValley
Community Development
Permit Center ❑ (� Q �/7 2
11707 E Sprague Ave, Suite 1106 L� V 15
Spokane Valley, WA 992061 �
(509)688-0036 FAX: (509)688-0037MAY 0
www.spokanevalley.or� [�
MQ�DQM
Manufactured, Home
Permit Application []OTHER
SITE ADDRESS:
ASSESSORS PARCEL NO:
Building Owner: "
y
Name:
ati cz.��s'o
Address
City: Com`, C
StateCZip:
c� .
Phone:
Fax:
Contact Person �1
Name: >!
Phone:
Describe the'scope of work in detail:.:
C) PERMIT NUMBER:
PERMIT FEE:
LEGAL DESCRIPTION:
Contractor:
y
Name:
Address
City:
State: .
Pho
Fax:
Co tractor Lic No:
F .Zr C
Exp Dago
City Business Lic. No:
MANUFACTURED HOME
Width: Length: Year. oz Pit Set: Septic ewer:
Manufacture:
Previous Address:
Proposed Use: /G'J
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 kane Valley Permit is not a permit or approval for any violation of federal, state or
local laws, codes or ordinances. 6) Pla a tonal information may be required to be submitted, and subsequently approved before
this application ca a roce
Signature Date 2 O�
Method of P
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 8/23/2005
[eck ❑ Mastercard ❑ VISA
/ — Expires: VIN#: