2009, 09-14 Permit App: 09002867 MH FinalProject Number: 09002867 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/14/2009 Page 1 of 2
Project Information:
Permit Use: 1989 28 x 56 FLEETWOOD - PERMIT OBTAINED
Contact: POWELL, NELS S & TANA L
IN 1992 BUT NEVER FINALED Address: 3516 N DONWOOD ST
C - S - Z: SPOKANE, WA 99216-1708
Setbacks: Front Left: Right: Rear: Phone: (509) 582-8027
Group Name:
Site Information: Project Name:
Plat Key: 000646 Name: DONWOOD EAST
District: East
Parcel Number: 55064.0203
Block: Lot:
SiteAddress: 3516 N DONWOOD ST
Location:: CSV
Owner: Name: POWELL, NELS S & TANA L
Address: 3516 N DONWOOD ST
SPOKANE, WA 99216-1708
Zoning: R-4 SF Res Urban District
Water District: 134 CONSOLIDATED ID #19
Hold: ❑
Area: .00 Acres Width: 68 Depth: 134 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review In formation
Review
Septic Sys Review
Released By:
Originally Released:
Landuse/Zoning/HE Conditions
Permits -
9/9/2009 By: LHALSEY
Released By: — - -'
Originally Released: 9/10/2009 By: tschmidt
Contractor: OWNER
Item Description
INSPECTION FEE
Manufactured Home
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
2 # SECTIONS
Operator: JD Printed By: jmm
Fee Amount
$100.00
Permit Total Fees: $100.00
Print Date: 9/14/2009
Project Number: 09002867
Notes:
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/14/2009 Page 2 of 2
Septic Designed for 2 bedrooms only.
Payment Summary: ,.
Permit Type
Manufactured Home
Fee Amount Invoice Amount
$100.00 $100.00
$100.00 $100.00
Amount Paid
$0.00
Amount Owing
$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: jmm Print Date: 9/14/2009
Project Number: 09002867 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/8/2009 Page 1 of 2
Project Information:
Permit Use: 1989 28 x 56 FLEETWOOD - PERMIT OBTAINED Contact: POWELL, NELS S & TANA L
IN 1992 BUT NEVER FINALED Address: 3516 N DONWOOD ST
C - S - Z: SPOKANE, WA 99216-1708
Setbacks: Front Left: Right: Rear: Phone: (509) 582-8027
Group Name:
Site Information: - _ Project Name: v n. - - _- �` _• .
Plat Key: 000646 Name: DONWOOD EAST
District: East
Parcel Number: 55064.0203
Block: Lot:
SiteAddress: 3516 N DONWOOD ST
Location:: CSV
Owner: Name: POWELL, NELS S & TANA L
Address: 3516 N DONWOOD ST
SPOKANE, WA 99216-1708
Zoning: R-4 SF Res Urban District
Water District: 134 CONSOLIDATED ID #19
Hold: ❑
Area: .00 Acres Width: 68 Depth: 134 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information •
Review
Septic Sys Review
Released By: --. - - - -_
Landuse/Zoning/HE Conditions
Permits
Manufactured Home
Firm: OWNER
Phone: (000) 000-0000
Contractor: OWNER
Item Description
INSPECTION FEE
Units Unit Desc
2 # SECTIONS
Operator: JD Printed By: JD
Fee Amount
$100.00
Permit Total Fees: $100.00
Print Date: 9/8/2009
Project Number: 09002867 Inv: I
Notes: , -,
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/8/2009 Page 2 of 2
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: 9/8/2009
sone
4#Val1ey.
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev.org
Manufactured Home
Permit Application
OTHER
PERMIT NUMBER: 2%'7
PERMIT FEE:
SITE ADDRESS: 35/(/1/ a4 e✓oOG/ -5, /en,14//,p,77A /L
ASSESSORS PARCEL NO: ,5ij' t o2 a
LEGAL DESCRIPTION:b O3 ,//K• /, 1voo// 5 t Su)cr,✓/Sibri
Building Owner:
Name: NA9. lS 5 4We///7--a,s 4,e //
Name:
Address: 35/` Ati t9on woo,
City:s,644» 2 ✓9.//ef State:ft/Q. Zip:
gZl6
Phone:c07 92.1-322 c/ Fax:
City:
Contact Person
Name: /14/5 /G wit 77
Phone: y09 -?22 -51-2Y wail( 209- - - 7z/(
Describe the scope of work in detail:
Contr`actdr :?
Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Contractor Lic No:
Exp Date:
City Business Lic. No:
/2,jld th,v-1'Cf/on /%//49/0,4-//✓Clfnii-or 920#fY/?l ,'5se 074,/7Z
MANUFACTURED HOME
Width: 28
Length: S(
Manufacture: fAj2ef I,,/000i'
Previous Address:
Proposed Use: f-/oa-e-
Year: /797
Pit Set:
c—Sept
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 ppr/91—Mb'
rocessed.
Signature vt
fr
Method of Payment
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 8232005
❑ Check
Date 07708/07
❑ Mastercard ❑ VISA
Expires: VIN#:
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3 5-/O /V Ain WaIdi
arc.e/ 5-3-0( V. X203
Dra visor as f 5o.4 /v7s7o%2
/ 3-5
PLANNING DEPT. APPROVED
-k,
BY: ( "Amts.
DATE: g'/ic/oq
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