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2013, 06-13 Permit App: FAS-2013-0006 MH
Spokane Valley. Community Development Department Permit Center 11703 East Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Tel: (509) 688-0036 Fax: (509) 688-0037 permitcenter@spokaneva Ilev.orq (Staff Use Only) PERMIT NUMBER: PERMIT FEE: MANUFACTURED HOME PERMIT APPLICATION OTHER SITE ADDRESS: /011 11 - AL Hoc/ yes Zai ASSESSORS PARCEL NO.: 55-0 a3, y0 (407 BUILDING OWNER NAME: LEGAL DESCRIPTION: LciL /%j IYJ,Ssi'oy piasea ,Moo NAME: )Vwm . U e , 13. ADDRESS: pi lap g, CITY: PHONE: veAqt do STATE: t/(J14 ZIP: , 3374. FAX: CELL: CONTACT NAME: Cal Avid PHONE: 5-0C/ ”.3 3/ 2. 3 FAX: CELL: ` f 3 3(Z3 CONTRACTOR NAME:* Lai4c1 O.0 net," v 114;5; vt Mate/pW6 LLC. MAILING ADDRESS: / 5910 . Cei fl £vo yl C -P CITY: 'poli,. ri.e VC/ i?e j PHONE: 5 o(1 -15 -,-3ey Z 3 CONTRACTOR LICENSE No.: STATE: 1.41 FAX: EXPIRES: {ZIP: qq ©' 3-7 J CELL: DC% /5---; CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: 5 et h h lam, CeidaveciA oma, -Cov Ve4iietAticc i use MANUFACTURED HOME WIDTH: 2(v'- f3" MANUFACTURED HOME LENGTH: 4 0/-0 YEAR OF MANUFACTURED HOME: 10 13 PIT SET: \/.p 'c€P ;NEWER: MANUFACTURER: Vet�') ju G&,I j-orvi S PREVIOUS ADDRESS: f 4j PROPOSED USE: le -42-5i DISCLAIMER F4-5-- 2013 - 00E1.16 The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction 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) The 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: Tee, / .3/ �j/ 3 Updated 1-11-11 Page 1 of 1 http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Manufactured_Home_Permit_1-11-11.doc LOT 19 1802 N. Hodges Lane Prepared fort Nancy Bevan North Ate. Scale: 1" = 20' Home Manufacturer: Valley Quality Homes Width: 26'8" Length: 60' Resident approval of site plan date date