2006, 06-23 Permit App: 06002392 MHProject Number: 06002392 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: PLANE 2006 MANUFACTURED HOME
Contact:
Address:
C - S - Z:
Setbacks: Front Left: Right: Rear: Phone:
Group Name:
Site Information: Project Name:
NW MANUFACTURED HOME SERVICE
P.O. BOX 3503
HAYDEN LAKE, ID 83835
Plat Key: Name: MISSION MEADOWS MHP MFG HOME PK 123 UNITS District: East
Parcel Number: 55083.9601
Block: Lot:
SiteAddress: 1710 N GRADY LN #96
Location:: CSV
Zoning: UR -7 Urban Residential -7
Water District:
Owner: Name: TIMMONS, JANET
Address: 85001 E BULL PINE LANE
SPOICANE, WA 99217
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
Released By:-
Driveway/Approach
Originally Released: 06/23/2006 By: AMBlake
Released By:
Originally Released: 06/23/2006 By: amblake
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Permits•
Originally Released: 06/19/2006 By: Mharnois
Released By: -
per utilities
Operator: AMB
Printed By: MTK
Print Date: 06/23/2006
Project Number: 06002392 Inv: 1,
• Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/19/2006 Page 1 of 2
Project Information: r
Permit Use: PLANE 2006 MANUFACTURED HOME
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:,
Contact: NW MANUFACTURED HOME SERVICE
Address: P.O. BOX 3503
C - S - Z: HAYDEN LAKE, ID 83835
Phone:
Group Name:
Project Name:
Name: MISSION MEADOWS MHP MFG HOME PK 123 UNITS
District: East
Parcel Number: 55083.9601
Block:
SiteAddress: 1710 N GRADY LN #96
Location:: CSV
Zoning: UR -7
Water District.
Urban Residential -7
Lot:
Owner: Name: TIMMONS, JANET
Address: 85001 E BULL PINE LANE
SPOKANE, WA 99217
Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Orr
Review Information:
tlt�i
Review , fUpr '
Building Plan Review gpOKA ..k/A/
9 20os
COMMDF TY '(p UP
MFn
Released 13y:
Driveway/Approach
Released By:
Landuse/Zoning/HE Conditions
Released By:zt`,/`ti__// i9/o
Sewer Review
Permits:
Released 13y: -
Operator: AMB Printed By: AMB Print Date: 6/19/2006
Project Number: 06002392 Inv: .
• Application Date: 06/23/2006 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Manufactured Horne
Contractor: NORTHWEST MFG HOME Firm: NORTHWEST MFG HOME SERVI
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
Spokane
aossigValley
Permit Center
11707 E Sprague Ave; Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
Community Development www.spokanevalley.org
Manufactured Home
Permit Application
asidl
�C�92MIT NUMBER a39)
PE -1214F1142 (a 4_100Ot
S 42*
a�
OTHER
SITE ADDRESS:
17/0 /L' 6 d Zane_
ASSESSORS PARCEL NO: 55;003. 96,0 2 LEGAL DESCRIPTION: Z / /XPi 1,/'55ja n / '& Z Gus A4
Building Owner: _/-7—
�"�
Name: 7a i1 el / 2/f�il 'Y1//��,'2n 5
Address: 6350/ ` /74// /ern e /time
City: 5
,94141/2tan State:
Zip:9y2/7
Phone: SSI _ 9.w_3000 Fax:
Contac
t Person'
Name:
Phone: (5-0 411 95 , — 3 9 Z 3
Describe the scope of work in detail:
Contractor: -
�"�
Name:
Pit Set: yes
Address:
City: State:
Zip:
Phone:
EEF�gax:
Contractor Lic Noj(O/NOn7TyEAS/4:NQ
1
City Business Lic. No:
Sto4/ivs # Z/93
MANUFACTURED HOME
Width:26 /it
Length: 60 fir
Year: 70040
Pit Set: yes
er
Manufacture: /Mar kW&
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 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 A/%74 ,__
Method of Payment: G (,�
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 6232005
❑ Check
Date 7-20„,/y 200
❑ Mastercard 0 VISA
Expires: VIN#:
Ca
4