2006, 10-18 Permit App: 06004183 MHPermit Center
ane 11707 E Sprague Ave, Suite 106
Spokane Valley,. WA 9410
7 �� (509)688-0036 FAX: ( 9 '688`00 ,7 rE 1/J E
Community Development www.spokanevalley.org [1
Manufactured Home
Permit Application
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SITE ADDRESS: 11611 East Ermina, . Spokane,WA 99206
ASSESSORS PARCEL NO: 09 541 — 2104 6
ne`
, g Buildin Owr
s
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Name:
ahnvP
Address:
P.O. Box
Address:
601 W Broadway
City:
Spokane
City:
State:
Ritwi11P WA
Zip:
99169
Phone:
Fax:
50(1—h q-1 Finn — work
Contractor Lic No:
ntact Person
Name: Kathy Gillis
Phone: 50q—F5q-1600
PERMIT NUMBER: 465
PERMIT FEE: 4
LEGAL DESCRIPTION: MH lot — see below
Contractor F
ei, A.1..1. SagSnn-nFxrRvItt1n,n...m.. .�
Name:
above
Address:
P.O. Box
14978
City:
Spokane
State:
WA
Zip•
99214
Phone:
922-4135
Fax:
Contractor Lic No:
Exp Date:
City Business Lic. No:
Describe the scope of work in detail:
Placement of 1981 Skyline Buddy MH on lot
4, Block 2, Fairacres Mobile Subdivision according to plat recorded in
Volume 9 rf Plats, pace 51 in Spokane County
MANUFACTURED HOME
Width: 24
Length: 6 0
Year:
1981
Pit Set:
Septic/Sewer:
Manufacture: Skyline Buddy - Purchased from CoachLite, Inc.
Previous Address: placed on property 1981, sold property and home 5/2006
Proposed Use: Residential
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:
El Cash
Bankcard #:
Authorized Signature:
REVISED 8/23/2005
0 Check
❑ Mastercard
Expires:
Date /Q - ice-6le
0 VISA
VIN#:
Address: 11611 East Ermina
Lot 4 - Block 2
Fairacres Mobile Homes Subdivision
Plat Record Volume 9, Page 51
Spokane County, WA
Parcel No: 09541-2104
m
m
Q
37.3 ft
A
p -Septic
, r
'i'�Ei.
Sewer Connection
23.5 ft�
v+s,`,'r
' ,:r
74; r
qtr
4ttFxwt_#c.%
` V}',:`
3d 5 ft a_
Pads
A W D
y.
22 x 1& x8
8 Pads
/45
I 34.5 ft #4
I
I
111 #3
L #2
l
I #1
Ermine
Kathy Gillis
Owner 1975 - May 2006
MH Mag 1981
Sold May 2006
Owner Jeff & Kary Mays
Address: 11611 East Ermina
Lot 4 - Block 2
Fairacres Mobile Homes Subdivision
Plat Record Volume 9, Page 51
Spokane County, WA
Parcel No: 09541-2104
m
m°;
37.3ft
A
Septic
K tt••�f
Sewer Connection
23.5 ft
g
Pads
A W D
22 x16 x8 8
#5
I 34.5 ft r #4
I #3
I #2
I #1
Ermine
Kathy Gillis
Owner 1975 - May 2006
MH Mag 1981
Sold May 2006
Owner Jeff & Kary Mays
r
. SEASONS EXCAV T
"Q. ejit D-pendabie Work At Competitive. Prices"
tom: O. Bcox 14978 Spck ne, WA .99214 .
P.hcme 922-4135 ..
F'ROPOSAL SUBMITTED TO
STREET
f ti
1 ' i/
CITY, STATE ,AND ZIP CODE
PHONE
JOB NAME
JOB LOCATION
ARCHtTEi1T
sir.
DATE OF .1 NS
JOB 'PHONE
We hereby submit specifications and estimates for:
f r--,.ct-
1 ; (co p refer
pec eci rriar
[ � E a, ,2,4„, „1 y " d9-7 a /0 dpi
Ct'ts ,l? i? o. <rec. cU - r
4.5 .
a¢ /et h ,&<,Ct
wh� /rS
r,,
P prPpiuSehereby. to .furnish material and
Payment to be made as follows:.
labor — complete in accordance with above specifications, for the sum of:
7!r3! - dollars ($rF.; .
:.All material i guarmteed to be as specified All work to be completed in a workmanlike. f
•manner ccording to standard practices Any alteration or deviation from above speclfiea Authorized ` ,
I - : 'tions involving extra co is -will be executed only upon written orders, and -Will become an . Signature '':- -
extra charge over and above the estimate. AU agreementscontingent upon strikes, accidents' 1 . .
y.
posaj m
roa
or delays beyond bur control Owner to carry 5re,.torrtado and other necessary insurance � � 'Nofe: This P . Y be
.. .
Our workers are fully co•_.ed by. Wnrkmen s Coripensatlon Insurance . withdrawn by us if not' accepted within days
c..- Oate of Acceptance: —q(
1.
FORM 118-3 COPYRIGHT 1980- Available lrom fFcr / Inc. Groton. .At s.01.50-
r£tttipitoa—The above prices: specifications
and conditions are::satisfactory andare hereby accepted. YOu;are authorized Signature
to oo thesvork asspecif od ;Payment will be made as outlined above:
PERMIT NO
SPOKANE COUNTY HEALTH DISTRICT
E. 0. PLOEGER, M. D., M.P.H., HEALTH OFFICER
N. 819 Jefferson Street
Spokane, Washington 99201
DATE 7//6/7
No. A 14330
APPLICATION FOR PERMIT TO INSTALL OR RECONSTRUCT SEWAGE DISPOSAL FACILITIE
Name c5,..-0-e,e.--7/ •
Address of Proposed Site E. /167(
-1- 1. a o
Address E. //47 //
Type of Use
Number of Bedrooms Building Capacity
Camp Capacity
Water Supply -.X_fr-,--) (City, Well, Spring). Drywell _
Septic tank capacity (-249 4:1 7 5'(.) gals. Style of tank
Is basement for building planned?
Phone No
Other
Length of disposal field •
74-ce-e- /$o
Absorption Pits Leach Bed
(1) Shciw relative location of,. Proposed house, septic tank,
dispersal field, well, garage and other out buildings.
(2) Make note of any heavy slope or swampy area or any
other important topographic details.
••;--; LOCATION O THE ON - SiTE
REPRESENTEE BY TE -DRAWING
NOT TO K.. CONSTRUED AS AN
XACT LOCATInN. OF -THF. SYSTEM..
FORM 346 REV. HEALTH
For Spokene County HealthDistrict
ROAD
72.1_
PC. it, 7.27. 22.
t3+3‘.8 •
16.65.9
Pr4.34.040.09
SEE /4641
.C.31.97 4-
Er C
"- IPI CAL LATERAL STPINGER EXAMPLE
A
__L
D
D
C
:J D
R
1
D
-- -- -j: D
Stringers should be flush
with ground or -recessed
up to two inches. Note
all frame members are •
supported by one stringer.
It is very important you
measure your house for
stringers.
This is an example only.
A Tongue
B - Centerline
C Frame Members
- Lateral Stringers
Sewer Connection
F.- .,Vater Connection
G. Power Connection
H Ileat Crossover
I Axles•