2007, 04-30 Permit App: 07001533 MHProject Number: 07001533 Inv: 1 Application Date: 4/30/2007 Page 1 of
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Parcel Number: 55083.9066 Block: Lot:
SiteAddress: 1802 U N GRADY AVE Owner: Name: MISSION MEADOWS LLC
Address: 15918 E CAMERON CT
Location:: CSV VERADALE, WA 99037
Zoning: UR -7 Urban Residential -7
Water District: 134 CONSOLIDATED ID #19 Hold: ❑
Area: 11.74 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Landuse/Zoning/HE Conditions Released By:
Permits:
— Manufactured Home -
Contractor: OWNER
Item Description
INSPECTION FEE
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
2 # SECTIONS
Permit Total Fees:
Fee Amount
$100.00
$100.00
Operator: JD Printed By: JD Print Date: 4/30/2007
Project Number: 07001533 Inv: I Application Date: 4/30/2007 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:;_
ALL PERMIT APPLICATIONS IN MISSION MEADOWS MHP MUST HAVE PLANNING
DIVISION REVIEW BY MICKI HARNOIS OR GREG MCCORRMICK
Payment Summary: e
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
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: 4/30/2007
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S o, Or Permit Center
karie 11707 E Sprague Ave, Suite 106
•*Valley Spokane Valley, WA 99206
.l (509)688-0036 FAX: (509)688-0037
Community Development www. pokanevallev.org
Manufactured Home AP 2�--i 2007
Permit Application ❑OTHER
SITE ADDRESS: 1A02- * 6M ( X'h-
PERMIT NUMBER:
PERMIT FEE:
ASSESSORS PARCEL NO:SS003, LEGAL DESCRIPTION: ZD% //g, AiS�do AH)o
Building Owner:
Name: LZ6
Address:
City:5 ` ��/'� Statem* Zip: 0
-37
Fh—one:'_6Zq_ys3_ V
_3�Z Fax: 92-7-4,757
Contact Person
Name: LQ f� �Y V►
Phone: - Z33 -3 Z z
Contractor:
Name:
Address:
City: State: Zip:
Phone: Fax:
Contractor Lic No: Exp Date:
City Business Lic. No:
Describe the scope of work in detail:�-
MANUFACTURED HOME
Width: Length: ! 8 I/ Year: Pit Set: i�e5 Sewer:
Manufacture:
Previous Address: /\I A
Proposed Use: (51 d -94„c -,P—
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 ❑ Check ❑ Mastercard
Bankcard #: Expires:
Authorized Signature:
REVISED 8232005
Date l Y[ Z0, Z607
❑ VISA
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