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2005, 10-17 Permit App: 05003852 MH SetProject Number: 05003852 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/17/2005 Page 1 of 2 Project Information: Permit Use: MANUFACTURED HOME SET Setbacks: Front 15 Left: 25 Right: 75 Rear: 35 Site Information: wax „-518Mar Plat Key: Name: SP -1274-01 Contact: CURTIS PRICE Address: 16424 N YALE C - S - Z: COLBERT, WA 99005 Phone: (509) 217-1828 Group Name: Project Name: INNSAMMMENEMSPAUMMINIO District: F Parcel Number: 45173.1124 SiteAddress: 231 N FARR RD Location:: CSV Block: Zoning: UR -3.5 Urban Residential 3.5 Water District: 011 MODERN Area: 17,931 Sq Ft Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: r .: Lot: B Owner: Name: JOHNSTON, DON Address: 231 N FARR SPOKANE VALLEY, WA 99206 Hold: ❑ Depth: 0 Right Of Way (ft): 20 Review Site Plan Review Released Ry Plan Review Originally Released: 10/17/2005 By: HKAUER Released By: N/A -PER MANUFACTURES SPECS Originally Released: 10/17/2005 By: CJJANSSE Sewer Review Permits: Released By: Originally Released: 10/17/2005 By: CJJANSSE Operator: CJJ Printed By: CJJ Print Date: 10/17/2005 Project Number: 05003852 Inv: 1 Application Date: 10/17/2005 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: UNKNOWN Address: UNKNOWN Phone: (000) 000-0000 UNKNOWN, WA UNKNOWN Manufactured Home Firm: UNKNOWN Item Description INSPECTION FEE Notes: Units Unit Desc 2 SECTIONS Permit Total Fees: Fee Amount $100.00 $100.00 PRIVATE DRIVE TO BE PAVED PURSUANT TO SP -1274. SEE CONDITIONS OF APPROVAL. Payment Summary: Permit Type Manufactured Home Fee Amount Invoice Amount $100.00 $100.00 Amount Paid $0.00 Amount Owing $100.00 $100.00 $100.00 $0.00 $100.00 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: CJJ Printed By: CJJ Print Date: 10/17/2005 Spokane .0„00Valley Community Development Permit Center 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 —� (509)688-0036 FAX: (509)688-00$LJ / , www.spokanevalley.org.com Manufactured Home Permit Application SITE ADDRESS 613/ /J, ARR Ad + /73• i/2,/_ pWMr�i,in; Tapers .3`� of SP 01-J27'( Ar✓iI,f1/3333 ASSESSORS PARCEL NO: LEGAL DESCRIPTION: ►" t$ Po it, A Poi OE BLe 13S or' (=Wood -yr) ''i% Building owner Name: a27'i S PR; CE Address: J(o4/21/ Al yA tiE City: Co J e/2f Zip: 99 005— aSPhone: Phone: Zn -1 '6 ZS Fax: Contact Person Name: t,�/2T i S f Orr— Phone: rr- Phone: a/7 — I g ZS' Describe the scope of work in detail: Seq' rot' o 6=ic red ` n 11n Contractor Name: Address: City: Zip: Phone: Fax: Lic No: Exp. Date: City Business Lic No: MANUFACTURED HOME Width: 2- Length: LI 0 Manufacture: CAI Mp 1'oAl Year: /999 Pit Set: y r Previous Address: 1 qb► 2� E,. oats k 7 .< Proposed Use: j2cS , 1n4)A- L ( j<iC DISCLAIMER -..._____ 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 be processed. Signature Date /0/ 7lO Method of Payment: (Faxed ermit applications will only be accepted with major bankcard) ❑ Cash ,Check ❑ Mastercard ❑ VISA Bankcard #: Expires: VIN#: ❑ Other Authorized Signature: REVISED 8/23/2005 09-29-2005 01:11 MG by/Y3IZen 1'1:41 3434b1b 73 KLK WLMS KL I Y 5h'K ADDENDUM ADDENDUM to that Real Estate Purchase artd Sale Agreement dated _ t between_�r,r ,�, _ <-> rN�r�� Seller; and _S r Purchaser of the property and legally described as: mmonlY known as 3 I (1l--Es-Lr-r- situated in the County of SAID AGREEMENT Is hereby amended to read as follows: DA rH(at� r4UL turzu Mm - ,20 hereinafter known as the hereinafter known as the , State of Washington. ^ _^>es. _ } C.\ r 1iC1�1�'�'CL�S� ) Gz----N I. NA (-1.,a t,cy �.. . ; A`'rte k..1-- - ---- - - - taC' _..� ••s t\f\c,ccs X01 JQ OC::) %\r ,ao_ oo tt� co b CaN - ALL OTHER terms and conditions of said Real Estate Purchase and Sale Agreement shall remain the same. THE ABOVE has been read and is agreed t0 by the undersigned this: / day of c. ('C' _) Purchaser wl* r - Swine office 09-29-2005 00:46 MG Seller day of Seller Copyright O 2004 by Spokane Atrsoolatlon of REATORS' Form 8.18.4101 GREEN - U 1ne Me YELLOW - Pudyne(s 2nd Copy PINK - Seller's Copy GOLD -Pugs 191 Copy PAGE1 This site obtaining Plan s bei representation a building ng submitted liobt � ritatiOn ld i9 Permit and iPur for ci n1 the bodies been �n°i,s, ;e , lines. proposal. tU All s a true and purpose of dies of r>fil,eit. struc known correct so SSigned: `e . steer s/tQAesno indicated are easementpropers Date: critical arewetlands,1.0 roe vl c PLANNING DEPT, APPROVED BY'