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2007, 08-01 Permit App: 07003008 MH
Project Number: 07003008 Inv: I Application Date: 8/1/2007 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Proiect Information: Permit Use: NEW MANUFACTURED HOME -2007 27 X 44 Contact: MISSION MEADOWS CLAYTON Address: 15918 E CAMERON CT C - S - Z: SPOKANE VALLEY, WA 99037 Setbacks: Front Left: Right: Rear: Phone: (509) 953-3923 Group Name: Site Information: Project Name: Plat Key: Name: Range District: East Parcel Number: 55083.9066 Block: Lot: SiteAddress: 1714 N•GR644* LN Owner: Name: MISSION MEADOWS Address: 15918 E CAMERON CT Location:: CSV SPOKANE VALLEY, WA 99037 Zoning: UR -7 Urban Residential -7 Water District: 134 CONSOLIDATED ID #19 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: Lan( Permits: Manufactured Home - Contractor: OWNER Firm: OWNER Phone: (000) 000-0000 Item Description Units Unit Desc Fee Amount INSPECTION FEE 2 # SECTIONS $100.00 Permit Total Fees: $100.00 Operator: jmm Printed By: jmm Print Date: 8/1/2007 .Project Number: 07003008 Inv: I Application Date: 8/1/2007 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 Pavment 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: jmm Printed By: jmm Print Date: 8/1/2007 Pi t Sprague Ave, Sui F C E 0 V PERMIT NUMBER: 'I Y` S� T Spokane Valley, WA 9920 PERMIT FEE: '// ! alle y (509)688-0036 FAX: (509 037AUG 0 Community Development www sWkanevallev.or • D Manufactured Home D U 0 L 0 H N Permit Application ❑OTHER SITE ADDRESS:/ 7//' A,D�X, �S ASSESSORS PARCEL NO: '5-5-003, LEGAL DESCRIPTION: G.d ISS/131PAC�CYIJSl7!' Building Owner: Name: 1�5�ro;�► �? G ©Uy Z -`-c Address: I 67f1j3 (!21- j,"epVN G- f - City: 5" State: M/A Zip: yb Phone: jt9 gS -�yd 3 Fax: �Z7 - l�7 5 % Contact Person. Name: Q $v V'\ Phone: 5Dy. 5 -3'72-3 Describe the scope of work in detail: Contractor: - Name:` . Address: City: State: Zip: Phone: Fax: Contractor Lic No: Exp Date: City Business Lic. No: Se,- new AlQ ht� 4 d u vee home- MANUFACTI.JRED HOME Width: 2-7 Length: �eY/ Year: -z,007 Pit Set: Ye ewer: Manufacture: Clay, .fin Previous Address: /V A Proposed Use: ` (2e 51 C)ei,4 t Ct ( The pennitee 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 nota permit or approval for any violation of federal, state or local taws, codes or ordinances. 6) Plans or additional information may be required to be submitted, and subsequently approved before this application can be processed. Signature Method of Payment ❑ Cash ❑ Check • Bankcard #: Authorized Signature: REVISED WM005 DateAY /� Z�� ❑ Mastercard ❑ VISA Expires: VIN#: LOT 15 a . If 11 1714 N. Hodges Lane HODGES LANE North - Spie• 100209 Resident Approval Of site pian .F IZ2 daft WNtW ` date ,,,,...,...., JL ........ a to13P .84 n TTFnI ■ 1-11� 4 - 'L'., , 01 .. ammomw @now memo" "T I it, 3i. 53 ' PLANNING DEPT. APPROVED BY . �22� DATE: