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2006, 06-23 Permit App: 06002393 MHProject Number: 06002393 Inv: 1 Application • THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 06/23/2006 Page 1 of 2 Project Information: _ Permit Use: SKYLINE MANUFACTURED HOME, LOT 57 Contact: NW MANUFACTURED HOME SERVICE Address: P.O. BOX 3503 C - S - Z: HAYDEN LAKE, ID 83835 Setbacks: Front Left: Right: Rear: Phone: Group Name: Site Information: Project Name: Plat Key: Name: MISSION MEADOWS MHP MFG HOME PK 123 UNITS District: East Parcel Number: 55083.9601 Block: Lot: SiteAddress: 1619 N GRADY LN #57 Location:: CSV Zoning: UR -7 Water District: Area: 0 Sq Ft Urban Residential -7 Width: 0 Owner: Name: MCMAHILL, DON & DEE Address: 1619 N GRADY LANE SPOKANE VALLEY, WA 99016 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information• Review Building Plan Review Released By: Driveway/Approach Originally Released: 06/23/2006 By: amblake Released By: Landuse/Zoning/HE Conditions Released By: Sewer Review Permits: Originally Released: 06/19/2006 By: Mharnois Released By: = - per utilities Originally Released: 06/23/2006 By: amblake Operator: AMB Printed By: MTK Print Date: 06/23/2006 all Project Number: 06002393 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 06/23/2006 Page 2 of 2 Manufactured Home Contractor: NORTHWEST MFG HOME Firm: NORTHWEST MFG HOME SERV! Address: PO BOX 3503 Phone: (208) 772-8469 HAYDEN, ID 83835 Item Description INSPECTION FEE Units Unit Desc 2 # SECTIONS Fee Amount $100.00 Permit Total Fees: $100.00 Notes , ALL PERMIT APPLICATIONS IN MISSION MEADOWS MHP MUST HAVE PLANNING DIVISION REVIEW BY MICKI HARNOIS OR GREG MCCORRMICK 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 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: AMB Printed By: MTK Print Date: 06/23/2006 Project Number: 06002393 Inv: 1 Application THIS IS NOT A PERMIT Date: 6/19/2006 Page 1 of 2 Penalties will be assessed for commencing work without a permit Project Information: r Permit Use: SKYLINE MANUFACTURED HOME, LOT 57 Contact: NW MANUFACTURED HOME SERVICE Address: P.O. BOX 3503 C - S - Z: HAYDEN LAKE, ID 83835 Setbacks: Front Left: Right: Rear: Phone: Group Name: Project Name: Site Information: Plat Key: Name: MISSION MEADOWS MHP MFG HOME PK 123 UNITS District: East Parcel Number: 55083.9601 Block: Lot: SiteAddress: 1619 N GRADY LN #57 Location:: CSV Zoning: UR -7 Water District: Area: 0 Sq Ft Urban Residential -7 Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Owner: Name: MCMAHILL, DON & DEE Address: 1619 N GRADY LANE SPOKANE VALLEY, WA 99016 Hold: ❑ Depth: 0 Right Of Way (ft): 0 "Gtfirrr Review Building Plan Review JUN 19 2003 • Released'By: SPOKANE VALLEY DFPAPTMENT GF UOMMUNITY DEVELOPMENT Driveway/Approach Released By: Landuse/Zoning/HE Conditions Released By: ?ka ".. -6_119/4_4 Sewer Review Permits • Released By: Operator: AMB Pnnted By: AMB Print Date: 6/19/2006 '',.�Permit Center k one 11707 E Sprague Ave, Suite 106 Valle Spokane Valley, WA 99206 Y (509)688-0036 FAX: 8LICE �[p 037 2 Community Development w'ww.s okanevallev.or . LS C .LS 11 pp E D Manufactured Home JU 19 2006 Permit Application nn n n _ E.PERMITNUMBER:; SITE ADDRESS / (C (�J �" tM ASSESSORS PARCEL NO: 54.003, 700/ LEGAL DESCRIPTION: (0/ 5 ?. //'f !S$%N Jibfie WI t,/ fi 1 W -�� lJ (f LS �UJ Li Il \II /019 A. l kar y L eLL ::Bu>ldiu`gowner.<<,`-e:.r:.:.:�.// w: Name: AV) t t9 z / ke. /ha All Address: City: Zip: Phone&M) 951-07O4Fax: "Contact Personi rg Name: `? (Aeon./ 111,9 to Phone: (qj q l ? S S- 37z 3 Describe the scope of work in detail: S 2/ Ji eci..I 4/14 , Adieu w _ L _.'..'aa-r., on?Zrao Name: Car/t/��4 491.,e. 54,..„„„767__54,..„„„767__Address: City: Zip: Phone: Fax: LicNo:COMGL1 chBrelExp.Date:.8`ZS/Ofi City Business Lic No: WA-ws # ZSSy MANUFACTURED HOME Width: 27 Manufacture: S, Length: 56' rnt Year: ZUO - Pit Set: Yes Seuier.:, Yes Previous Address: Proposed Use: 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 can be processed. Signature Date C3/41 yl) (F,, Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash 0 Check ❑ Mastercard ❑ VISA Bankcard #: Expires: VIN#: • ❑ Other Authorized Signature: REVISED 0/23/2005 smile= ammo,. ossiosidoes MASONING INISIOONNOt • •••••11"... ••••••011111.