HomeMy WebLinkAbout2010, 12-03 Permit App: 10003954 MHProj ect.Number: 10003954 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/3/2010 Page 1 of 2
Project Information:
Permit Use: EXISTING 1984 28 X 60 FLEETWOOD Contact: JAMES ELLARD
Address: 8606 E DESMET AVE
C - S - Z: SPOKANE, WA 99212
Setbacks: Front Left: Right: Rear: Phone: (509) 926-3623
Group Name:
Site Information: Project Name:
Plat Key: 001627 Name: MICHIELLI PARK 03RD ADD
District: Nort
Parcel Number: 45181.1034
Block: Lot:
SiteAddress: 8606 E DESMET AVE
Location:: CSV
Zoning: R-3 SF Res District
Water District: 005 HUTCHINSON
Owner: Name: MOORE, RODERICK G
Address: 8606 E DESMET AVE
SPOKANE, WA 99212
Hold: ❑
Area: .00 Acres Width: 85 Depth: 140 Right Of Way (ft): 50
Nbr of Bldgs: 3 Nbr of Dwellings: 1
Review Information:
Review
Landuse/Zoning/HE Conditions
Permits:
Released By:
Originally Released: 12/3/2010 By: MPALANIU
Contractor: OWNER
Item Description
SETTING PERMIT
Manufactured Home
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
2 # SECTIONS
Operator: JD Printed By: JD
Fee Amount
$100.00
Permit Total Fees: $100.00
Print Date: 12/3/2010
Project Number: 10003954 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/3/2010 Page 2 of 2
N0tes: W-tf
Payment Summary: gwmovoa,..A.
Permit Type
Manufactured Home
Fee Amount Invoice Amount
vzmggmmmwmwaaongpmamwmargl,g,,mgmagoaggomspmwgewrvg
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: JD Printed By: JD
Print Date: 12/3/2010
*Wane
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite B-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
perm itcenter@sooka neva l lev. o rq
(Staff Use Only)
PERMIT NUMBER:
PERMIT FEE: VXD
MANUFACTURED HOME PERMIT APPLICATION
OTHER
SITE ADDRESS: Qy6Q6 C. 0 est"e.t Ave. Spokawt Vuw11tiy , vol. % ity
ASSESSORS PARCEL NO.: LEGAL DESCRIPTION:
BUILDING OWNER NAME:
NAME: wIN. e.S
ADDRESS: g6ob E. Av'•
CITY: S p t, IC awe V 011 e
PHONE: 5 U G1 - al L (` 41/8
CONTACT NAME: A
pyo Y S M C d d Oh
PHONE: 5 d CA - (0 LIZ/
CONTRACTOR NAME:
STATE: \/p•
FAX:
FAX:
ZIP: . q L 12
CELL: 5 0 ci °1 18 . 4 63 0
CELL:
y- - LQ%
MAILING ADDRESS:
CITY:
STATE: ZIP:
PHONE:
FAX: CELL:
CONTRACTOR LICENSE No.:
EXPIRES: CITY BUSINESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
per b• ►b. @K iS'- ) 'Mctwu f-s.cF (.. J 1iwt+t vh Cove c i -e e.vv.dc,�1-1��
MANUFACTURED HOME WIDTH: Z. %'
MANUFACTURED HOME LENGTH: )' 6 d'
YEAR OF MANUFACTURED HOME: 1 e1t4
PIT SET: . .' SEWER:
MANUFACTURER: w
PREVIOUS ADDRESS: N
PROPOSED USE: S ‘V
CIS
DISCLAIMER
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction 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) The 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
Method of pa fr(ent: ❑ Cash
Bankcard #:
0 Check
Date: 11. - 3- 1 0
❑ Visa ❑ Mastercard
EXP: VIN#:
Authorized Signature:
Effective October 28, 2007 Page 1 of 1
P:\Community Development\02 Administration\03 Forms - Official Versions\Permit Center\Manufactured Home Permit App 10.28.07.doc
u i 4:4
[=1
PLANNING DEPT. APPROVED
DATE: Iz/3/2o'o
Voo(a E DEMe-r