2006, 06-23 Permit App: 06002394 MHProject Number: 06002394 Inv: 1 •
Application Date: 06/23/2006 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SKYLINE 27 X 44 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: 1711 N GRADY LN #53
Location:: CSV
Zoning: UR -7
Water District:
Area: 0 Sq Ft
Urban Residential -7
Width: 0
Owner: Name: MILES, JOHN & RUBY
Address: 1711 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:
per manufacturer's specs
Originally Released: 06/23/2006 By: amblake
Driveway/Approach
Released By:.
Originally Released: 06/23/2006 By: amblake
Landuse/Zoning/HE Conditions
-Released By:
Sewer Review
Originally Released: 06/19/2006 By: Mharnois
Released By:
per utilities
Operator: AMB Printed By: MTK Print Date: 06/23/2006
Project Number: 06002394 Inv: 1
Application
Date: 6/19/2006 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SKYLINE 27 X 44 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:
i P
Plat Key: Name: MISSION MEADOWS MHP MFG HOME PK 123 UNITS District: East
Parcel Number: 55083.9601
Block: Lot:
SiteAddress: 1711 N GRADY LN #53
Location:: CSV
Zoning: UR -7
Water District:
Urban Residential -7
Owner: Name: MILES, JOHN & RUBY
Address: 1711 N GRADY LANE
SPOKANE VALLEY, WA 99016
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
JUN 19 2006
SPOKANE VALLEY
.^0M INPITYDlEET01.
DEVELOPMENT
Released By:
Driveway/Approach
Released By:. - -
Landuse/Zoning/HE Conditions
Released By: ' Z!?j(�( (il-/±9164—
Sewer Review
Permits•
Released By: -
Operator: AMB Printed By: AMB
Print Dale: 6/19/2006
Project Number: 06002394 Inv: 1
Application Date: 06/23/2006 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Permits•
Manufactured Home
Contractor: NORTHWEST MFG HOME Firrn: NORTHWEST MFG HOME SERVI
Address: PO BOX 3503
HAYDEN, ID 83835
Item Description
INSPECTION FEE
Phone: (208) 772-8469
Units Unit Desc
2 # SECTIONS
Fee Amount
$100.00
Permit Total Fees: $100.00
Nates:
ALL PERMIT APPLICATIONS IN MISSION MEADOWS MHP MUST HAVE PLANNING
DIVISION REVIEW BY MICKI HARNOIS OR GREG MCCORRMICK
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: AMB Printed By: MTK Print Date: 06/23/2006
ISpoka \'<
®0 Valley
Community Development
Permit Center •
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-003
www.spokanevalleV.org.com
Manufactured Home
Permit Application
IPERNIIT NUMBER
'PERMITFEEi
119 2006
SITE ADDRESS 171/ )VOy-/ (rt �— o/d Lone !!�t.. // AS II
ASSESSORS PARCEL NO: 56-003_7410 / LEGAL DESCRIPTION: 6./53 /%j i'5/'dn rilPs9cfnc o s- /h kP
v..'+'=izt. .•:„:: �..-x:Y "�}:: •V:£'tr:•,„.:1� � r Yr,. +.
,Buildtng�owner:`�73y���'Sertt,fix-+raf.[.�s���:'^i�f"s�z,J.
Name: 7040 E/lu 4G /Z',Yes
Address: 7
City: Zip:
Phone: qz&,-24,13q Fax:
u.0
ontact•,'Person a
.•
Name: Kf1()4,9 fill% Sni?
Phone:
Describe the scope of work in detail:
Set /Utw /ML HC, 74 t r ✓ Ante_
ontracfor:a•.-_/
Name: COf/ /e/C�%%1G Serv/i:.e
Address: /
City: Zip:
Phone: Fax:
j
Lie No:COMPL I E7g3D0 Exp. Date:3/Z5- OS
City Business Lic No:
&wfi,V 5 r Z SS9
MANUFACTURED HOME
Width: Z-7 / Length: «5L /
Manufacture:
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. �f
Signature
Year: 20oL
Pit Set: les
Samar -, }yes•
Date 649/Cle
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash 0 Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN#:
0 Other
Authorized Signature:
REVISED 8/23/2005
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