2005, 11-01 Permit App: 05004133 MHProject Number: 05004133 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/01/2005 Page 1 of 2
Project Information:
Permit Use: MANUFACTURED HOME SET
Setbacks: Front 15 Left: 6 Right: 4 Rear: 30
Site Information:
Contact: RICHARD MASON
Address: 15918 E CAMERON CT
C - S - Z: VERADALE, WA 99037
Phone: (509) 953-3923
Group Name:
Project Name:
Plat Key: Name: MISSION MEADOWS MHP MFG HOME PK 123 UNITS
District: East
Parcel Number: 55083.9601
SiteAddress: 1608 N HODGES LN
Location:: CSV
Zoning: UR -7
Water District:
Area: 0 Sq Ft
Block:
Urban Residential -7
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: BEA WALKER
Address: 1330 MAIN AVE #1
ST. MARIES, ID 83861
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Site Plan Rev' w
a
Plan Review
Released By:
PER MANUFACTURES SPECS
Sewer Review
Permits:
Originally Released: 11/01/2005 By: CJJANSSE
Released By:
Operator: CJJ Printed By: CJJ Print Date: 11/01/2005
Project Number: 05004133 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/01/2005 Page 2 of 2
Contractor: UNKNOWN
Address: UNKNOWN
UNKNOWN, WA UNKNOWN
Item Description
INSPECTION FEE
Notes:
Manufactured Home
Firm: UNKNOWN
Phone: (000) 000-0000
Units Unit Desc
2 SECTIONS
Permit Total Fees:
Fee Amount
$100.00
$100.00
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: CJJ Printed By: CJJ Print Date: 11/01/2005
cK Permit Center
*Wane 11707 E Sprague Ave, Suite 106
4•0000 Valle Spokane Valley, WA 99206
Y (509)688-0036 FAX: (509)688-0037
Community Development www.spokanevalley.org.com
Manufactured Home
Permit Application
RMIT OWI
SITE ADDRESS /? 05 Al dy-es �)
ASSESSORS PARCEL NO: 55() 3 , /load LEGAL DESCRIPTION: Lv'T qr )7/55M, )WP
Building owner
Name: fpjb/ (.
Address: /3 5Y)
City: 5i Mak yes ID Zip: e35b/
Phone:
Fax:
Contact Person
Name: t 4;; L:tdrii./17 5DVi
Phone: 609 — - 37Z 3
Describe the scope of work in detail:
Contractor
Name: ,4//
Address:
City:
Zip:
Phone: Fax:
Lic No: Exp. Date:
City Business Lic No:
MANUFACTURED HOME
Width:
Manufacture: vim//
Previous Address:
Proposed Use:
Length: 51,e1.--0,"
Mm -
Year: ZDo1-
Pit Set: Y� S
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
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
0 Cash 0 Check ❑ Mastercard 0 VISA
Bankcard #: Expires: VIN#:
Authorized Signature:
REVISED 8/23/2005
❑ Other
SPOKANE COUNTY UTILITIES/SEWER & GFC
1026 W. BROADWAY, SPOKANE, WA 99260
(509) 477-3604
RECEIPT No.
/0/
Date
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/�; v5 /Y.. Z3 �,�3 / !QT 9 /t5i/9:� ,c-~A�Qv' S �`1d
Site Address LN C _
Account Number J c ®D 26 0)
03759
20 as
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Dollars $ /, 5-06 /
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Valley Manufactured Housing
1717 South 4th Street, Sunnyside Washington. 94944
Valley Manufactured Housing
,938
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I LONGITUDINAL FOUNDATION
FOOTING &BLOCKING DETAILS
281