2007, 06-25 Permit App: 07002397 MHProject Number: 07002397 Inv: I Application Date: 6/25/2007 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: 28 X 60 1999 PALM HARBOR
Contact: ESE CONSTRUCTION
Address: 7189 F&S GRADE RD
C - S - Z: SEDRO WOOLEY, WA 98284
Setbacks: Front Left: Right: Rear:
Phone: (360) 856-5865
Group Name:
Site Information:
Project Name:
Plat Key: Name: WOODLAND ADD
District: Sout
Parcel Number: 35244.0831 Block:
Lot:
SiteAddress: 7311 E 10 AVE
Owner: Name: ANDERSON, KIM L & JOHN D
. j�
Address: 2203 HIGHLAND DR
Location:: CSV
CAMANO ISLAND, WA 98282
Zoning: UR -3.5 Urban Residential 3.5
Water District: 020 EAST SPOKANE
Hold: ❑
Area: 7,000 Sq Ft Width: 0
Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Released By:
Landuse/Zoning/HE Conditions
Released By:
Permits: k:,...,....::,µ� . ... .
Manufactured Home
Contractor: ESE CONSTRUCTION
Address: 7189 F&S GRADE RD
SEDRO WOOLLY, WA 98284
Item Description
INSPECTION FEE
Firm: ESE CONSTRUCTION
Phone: (360) 856-5865
Units Unit Desc
2 # SECTIONS
Permit Total Fees
Fee Amount
$100.00
$100.00
Operator: JD Printed By: JD Print Date: 6/25/2007
Project Number: 07002397 Inv: 1 Application Date: 6/25/2007 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
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
T •_ _7-_--- ----
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: 6/25/2007
Permit Center
SCITY I000� 11703 E Sprague Ave, Suite B-3 .�
poka`n'e Spokane Valley, WA 99206 juitt~j--, f
j Vale (509)688-0036 FAX: (509)688-0037
Y` www.spokanevalley.org
Community Development
Manufactured Home
PERMIT NUMBER: -T C:
PERMIT FEE: r
Permit Application ❑ OTHER
SITE ADDRESS: 0 C--7 IV
ASSESSORS PARCEL NO: 3S2 yy, ('e,3` LEGAL DESCRIPTION: Z07—/,S
Building Owner:
Name: �.Al c
D A)
Addre��p
11-4 %1l J
City: 6"11NGS
�g, 4A�o State: Wl Zip: G�
Phone ., _1 -)6
�� Fax Z
Contact Person l
Name:
Phone: Q ,�
Contractor:
Name: CO JU ST
D A)
Address: 7i )f S
Q 6
City C�040 L!%,VLL-C. State: Zip: f'
Phone:- O Fax:JkaO cf:5-4, Y3 ys'
p�ntr ctor c o�,o * b Ex
Date: Z�D7
City Business Lic. No: OZ
Describe the scope of work in detail: P�c�� 4-14-13 i9,LjI't5Z%L�_
MANUFACTURED HOME
Width: 2
I Length: I Year: /l-� Pit Set: Septic/Sewer
Manufacture: &'ln
Previous Address:
Proposed Use:
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 Pe i Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
local laws, code r ordinanc . 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application an be pro SS d.
Signature
Method ofWyment:
❑ Cash ❑ Check
Bankcard #:
Authorized Signature:
REVISED 8/23/2005
Date 1j/%07e .7
❑ Mastercard ❑ VISA
Expires: VIN#:
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PLANNING DEPT. APPROVED
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