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2009, 05-29 Permit App: 09001476 MHProject Number: 09001476 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/29/2009 Page 1 of 2 Project Information: Permit Use: NEW 2004 27 X 48 GOLDEN ESTATE/MANUFACTURING WEST INC Setbacks: Front Site Information: Plat Key: Parcel Number: 55083.9066 SiteAddress: 1722 N GRADY LN Left: Right: Rear: Name: Range Contact: MISSION MEADOWS LLC Address: 15918 E CAMERON CT C - S - Z: SPOKANE VALLEY WA 99037 Phone: (509) 953-3923 Group Name: Project Name: LOT 94 Location:: CSV Block: Lot: District: East Owner: Name: MISSION MEADOWS LLC Address: 15918 E CAMERON CT SPOKANE VALLEY WA 99037 Zoning: R-4 SF Res Urban District Water District: 134 CONSOLIDATED ID #19 Hold: I_1 Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: w; Review Building Plan Review Released By: SET PER MANUFACTURED SPECS Originally Released: 5/29/2009 By: JLMain Landuse/Zoning/HE Conditions Released By: Originally Released: 5/29/2009 By: mharnois Contractor: OWNER Item Description INSPECTION FEE Manufactured Home Firm: OWNER Phone: (000) 000-0000 Units Unit Desc 2 # SECTIONS Operator: jmm Printed By: jmm Fee Amount $100.00 Permit Total Fees: $100.00 Print Date: 5/29/2009 Project Number: 09001476 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/29/2009 Notes Payment Summary Permit Type Manufactured Home Fee Amount Invoice Amount Amount Paid $100.00 $100.00 $0.00 Amount Owing $100.00 $100.00 $100.00 $0.00 $100.00 Yl Page 2 of 2 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: jmm Printed By: jmm Print Date: 5/29/2009 Project Number: 09001476 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/27/2009 Page 1 of 2 Project Information: Permit Use: NEW 2004 27 X 48 GOLDEN ESTATE/MANUFACTURING WEST INC Setbacks: Front Site Information: Plat Key: Left: Right: Rear: Name: Range Parcel Number: 55083.9066 SiteAddress: 1722 N GRADY LN Location:: CSV Block: 1,44 tg Contact: MISSION MEADOWS LLC Address: 15918 E CAMERON CT C - S - Z: SPOKANE VALLEY WA 99037 Phone: (509) 953-3923 Group Name: Project Name: LOT 94 Lot: District: East Owner: Name: MISSION MEADOWS LLC Address: 15918 E CAMERON CT SPOKANE VALLEY WA 99037 Zoning: R-4 SF Res Urban District Water District: 134 CONSOLIDATED ID #19 Hold: ❑ Area: 0 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 Landuse/Zoning/HE Conditions Contractor: OWNER Item Description INSPECTION FEE IReleased By: .,.. Released By: '- _j41,„1,...4 ..5 j99 9 J Manufactured Home Firm: OWNER Phone: Units Unit Desc 2 # SECTIONS (000) 000-0000 Fee Amount $100.00 Permit Total Fees: $100.00 Operator: jmm Printed By: jmm Print Date: 5/27/2009 Project Number: 09001476 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/27/2009 Page 2 of 2 Notes:.x�e�«.:;,,.,r Payment Summary Permit Type Manufactured Home Fee Amount Invoice Amount 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: jmm Printed By: jmm Print Date: 5/27/2009 , - Permit Center Spokane 11703 E Sprague Ave, Suite B-3 www. snokaneval le v. o r> r VALLEY Y" Spokane Valley, WA 99206 CITY Os bVU 4f Va11ey (509)688-0036 FAX: (509)688-0037 Community Development Manufactured Home Permit Application PERMIT NUMBER: i' 174e, PERMIT FEE: SITE ADDRESS: 17 ZZ N. Grad Lam ASSESSORS PARCEL NO: 55'083. 9044 LEGAL DESCRIPTION: �.OT 9�� /yJ/S5k 1 / OcvS n1Hp Building Owner: Name: /n/55je)n // (1/4I.)s LLL (tend owner Name: Dave AO L ii I'I Ca /ar well J Address: Zip:7 037 City: State: Zip: Phone: 193_ .9.07,./ Fax: Contact Person Name: 2c.,A a'S A615401'7 Phone: 5q— 953- 3 Describe the scope of work in detail: Contractor: Name: /n/55je)n // (1/4I.)s LLL (tend owner Address: 15W6 R. CePhieelA t4 City:,, t1.4.ii t State: 1 Zip:7 037 Phone: `^ 9S'3- 'W23Fax: Contractor Lic No: Exp Date: City Business Lic. No: Set filatue4dured Arne MANUFACTURED HOME Width: Z 7 / Length: ve3/ Year: Zo/' Pit Set: yes -Septile€wer: Manufacture: G.v/Q/e N 4-5/se / /j'�Aszu Previous Address: Proposed Use: ,z 5 PCe.4,1 daki n0 /,*Yet .fin c . 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 Method of Payment: ❑ Cash Bankcard #: Authorized Signature: REVISED 8/23/2005 0 Check ❑ Mastercard Expires: Date ❑ VISA VIN#: Z7 Zoo 1722 N. Grady Lane Scale: 1" = 20' Home Manufacturer: 6-ol de.^ E-fajre. Width 2-7' Length ¥S, Resident approval of site plan Signature Jdate Offr Signature date