2007, 05-25 Permit App: 07001974 MHProject Number: 07001974 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/25/2007 Page 1 of 2
Project Information:
Permit Use: 2007 27 X 57 SKYLINE
Setbacks: Front 12 Left: 17 Right: 8 Rear: 20
Site Information:
k
Plat Key: Name: MISSION MEADOWS MHP MFG HOME PK 123 UNITS
Contact: MISSION MEADOWS LLC
Address: 15918 E CAMERON CT
C - S - Z: VERADALE, WA 99037
Phone: (509) 953-3923
Group Name:
Project Name:
District: East
Parcel Number: 55083.9066 Block:
SiteAddress: 1730 U N HODGES LN
Location:: CSV
Zoning: UR -7
Urban Residential -7
Lot:
Owner: Name: MISSION MEADOWS LLC
Address: 15918 E CAMERON CT
VERADALE, WA 99037
Water District: 134 CONSOLIDATED ID #19
Area: 11.74 Acres Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Landuse/Zoning/HE Conditions
Sewer Review
Permits:
Released By:
Released B
Contractor: OWNER
Item Description
INSPECTION FEE
Manufactured Home
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
2 # SECTIONS
Operator: JD Printed By: JD
Fee Amount
$100.00
Permit Total Fees: $100.00
Print Date: 5/25/2007
Project Number: 07001974 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/25/2007 Page 2 of 2
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: JD Printed By: JD Print Date: 5/25/2007
t25
� 1/ZI3j
5-81'
H-6---DGE-S LANE
Signature
Signature
LOT 18
1730 N. Hodges Lane
North
Scale: 1" = 20'
Resident approval of site plan
date
date
1
4
1306'
•
•Spo" kerne
�•"�Valley
Community Development
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org MAY 2
Manufactured Home
Permit Application
OTHER
PERMIT NUMBER
1
PERMIT FEE:
SITE ADDRESS: / 730 /Sl. /ijfod9 es Lane.
ASSESSORS PARCEL NO: 55053. yp LEGAL DESCRIPTION: LGY iB, 111/SS/a/r/egd6tos M k(
Building Owner:
Name: A755/00 li 04Q(.t)S L LC—
Address: /51,13e. coo evai i►.. .
City: * 4 hL lk //€ State: UJf. Zip: 99037
Phone: y- 953_3,1 3 Fax: 50,1-X127-1,757
Contact Person
Name: M i Sp h
Phone: j - 9553- 3923
Describe the scope of work in detail:
•
Contractor:
27 !oft
Length: cam^ 7
Name: �WNeie'
Year: Za07
Pit Set:
Address:
- _ . 1=30
City:
State:
Zip:
Phone:
Fax:
Contractor Lic No:
Exp Date:
City Business Lic. No:
Se -1- Aew Mayo tea Ao
MANUFACTURED HOME
Width:
27 !oft
Length: cam^ 7
! (/i/
Year: Za07
Pit Set:
yes
- _ . 1=30
anutacture: 5 Icy //he_
Previous Address:
Proposed Use: ees1de`,-I-,c
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 .....,„"2/41
Method of Payment
0 Cash
•ankcard #:
Authorized Signature:
REVISED 6/232005
0 Check
❑ Mastercard
Expires:
Date ,1a, �j Z007
❑ VISA
VIN#: