2005, 09-12 Permit App: 05003288 MHProject Number: 05003288 Inv: I Application Date: 09/12/2005 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: MANUFACTURED HOME SET Contact: RICHARD MASON
Address: 15918 E CAMERON CT
C - S - Z: VERADALE, WA 99037
Setbacks: Front 20 Left: 20 Right: 5 Rear: 10 Phone: (509) 953-3923
Group Name:
Site Information: Project Name:
Plat Key: Name: unknown District: G
Parcel Number: 55083.9012 Block: Lot:
SiteAddress: 1602 N HODGES LN Owner: Name: KENT, FRANK & BARBARA
Address: 1602 N HODGES LN
Location:: CSV SPOKANE VALLEY, WA 99016
Zoning: UR -7 Urban Residential -7
Water District: Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Site Plan Review Released By:
Originally Released: 09/08/2005 By: CBATES
Plan Review Released By:
Permits:
Originally Released: 09/12/2005 By: TMELBOU
Manufactured Home
Contractor: MOBILE CORRAL HOMES INC Firm: MOBILE CORRALL HOMES INC
Address: 15906 E SPRAGUE AVE Phone: (509) 928-3003
VERADALE, WA 99037
Item Description
INSPECTION FEE
Units Unit Desc Fee Amount
2 SECTIONS $100.00
Permit Total Fees: $100.00
Operator: CJJ Printed By: CJJ Print Date: 09/12/2005
Project Number: 05003288 Inv: I Applicatipn Date: 09/12/2005 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:
Permit Tyne 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: CJJ Printed By: CJJ Print Date: 09/12/2005
Project Number: 05003288 Inv: I Application Date: 09/08/2005 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: MANUFACTURED HOME SET Contact: RICHARD MASON
Address: 15918 E CAMERON CT
C - S - Z: VERADALE, WA 99037
Setbacks: Front 20 Left: 20 Right: 5 Rear: 10 Phone: (509) 953-3923
Group Name:
Site Information: Project 11 Name:
Plat Key: Name: unknown District: G
Parcel Number: 55083.9012 Block:
SiteAddress: 1602 N HODGES LN
Location:: CSV
Zoning: UR -7 Urban Residential -7
Water District:
Area: .00 Acres Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: KENT, FRANK & BARBARA
Address: 1602 N HODGES LN
SPOKANE VALLEY, WA 99016
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Site Plan Review Released By:
i
GIVEN TO PLANNING 9/8
Plan Review Released By:�
Sewer Review Released By:
Permits:
Operator: CJJ Printed By: CJJ Print Date: 09/08/2005
Project Number: 05003288 Inv: 1 Application Date: 09/08/2005 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: MOBILE CORRAL HOMES INC
Address: 15906 E SPRAGUE AVE
VERADALE, WA 99037
Item Description
INSPECTION FEE
Notes:
Manufactured Home
Firm: MOBILE CORRALL HOMES INC
Phone: (509) 928-3003
Units Unit Desc Fee Amount
2 SECTIONS $100.00
Permit Total Fees: $100.00
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: CJJ Printed By: CJJ Print Date: 09/08/2005
Spokcan �r PER�viIT I�'UMBER'
ane 11707 E Sprague Ave, Suite 106 ; . Permit Center �
,;,o': Valle Spokane Valley, WA 99206 2 2 �p PERMIT FEE:
Y (509)688-0036 FAX: (509)688 R LE C LS d V F,
Community Development www.spokanevalley.org.com
Manufactured Home
000
Permit Application UOLDPH
SITE ADDRESS �� ",e–s ZaAe
ASSESSORS PARCEL NO: 6-5-0[!5 g60� LEGAL DESCRIPTION: Z01 Z 1b1j 5%r�Aed8& S M#,V
Building owner
Name:
Address:
City: Zip:
Phone: —d 7 ^Fax:
Contact Person
Name:
Phone: q<-�
Describe the scope of work in detail:
Contractor
Name:
Address:
City: Zip:
Phone: Fax:
Lic No: Exp. Date:
City Business Lic No:
MANUFACTURED HOME
Width: Q �...[�r� Length: �Z—O �� Year: ZOOS' Pit Set:
Manufacture:— Aw3h aw,
Previous Addr
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 y Date
Method of Payment. (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA ❑ Other
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 8/23/2005