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2007, 06-19 Permit App: 07002352 MHProject Number: 07002352 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/19/2007 Page 1 of 2 Project Information: Isimmissionamonamiesegittivimmusw Pemut Use: 2007 27 X 60 CLAYTON Setbacks: Front 9 Left: 9 Right: 8 Rear: 11 Site Information: Plat Key: Contact: MISSION MEADOWS LLC Address: 15918 E CAMERON CT C - S - Z: VERADALE, WA 99037 Phone: (509) 953-3923 Group Name: Project Name: Name: MISSION MEADOWS MHP MFG HOME PK 123 UNITS Parcel Number: 55083.9066 Block: SiteAddress: 1827 N MEADOWS PL Location:: CSV District: East Lot: Owner: Name: MISSION MEADOWS LLC Address: 15918 E CAMERON CT VERADALE, WA 99037 Zoning: UR -7 Urban Residential -7 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 Building Plan Review Released By: Landuse/Zoning/HE Conditions Released By: Sewer Review Permits: Released By: Contractor: OWNER Item Description INSPECTION FEE VIWZMIMSERMNISMEIGMAMINEW Manufactured Home Firm: OWNER Phone: (000) 000-0000 Units Unit Desc 2 # SECTIONS Permit Total Fees: Fee Amount $100.00 $100.00 Operator: JD Printed By: JD Print Date: 6/19/2007 Project Number: 07002352 Notes: Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/19/2007 Page 2 of 2 ALL PERMIT APPLICATIONS IN MISSION MEADOWS MHP MUST HAVE PLANNING DIVISION REVIEW BY MICKI HARNOIS OR GREG MCCORRMICK Payment Summary: >s Permit Type Manufactured Home Fee Amount Invoice Amount $100.00 $100.00 $100.00 $100.00 Amount Paid $0.00 $0.00 Amount Owing $100.00 $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: 6/19/2007 Permit Center `'cx re 11707 E Sprague Ave, Suite 106 SoT' 4100010V al 11 Spokane Valley, WA 99206, 1 y (509)688-0036 FAX: (509)6884)037 Community Development www.spokanevalley.otq JUN / s• Manufactured Home Permit Application OTHER SITE ADDRESS: / Z7 /Ya h014w 5 i'e.(2, ASSESSORS PARCEL NO: 65-0 03 d 904,4 LEGAL DESC Building Owner: Name: J "5/0,1 Aedi ow0:-.i 2 -z -c:- Address: 16-9/6E. cc.?Jor)ek-yi (....,:fCity: S;,..4- t)t s ibe y State:/4Zip: 9963? Phone: ` z./ _.4%53._3,23Fax: -927" 7.5 % Contact Person Name: •g;(..,1,1 lcrei 1 v l L Sil o Phone: 5(:),/ - '73-3 Describe the scope of work in detail: PERMIT NUMBER: PERMIT FEE: 5 53;eii 121 eodcw 41/1/2 Contractor: Name: OLo4 eY Address: City: State: Zip: Phone: Fax: Contractor Lic No: Exp Date: City Business Lic. No: se+ nem Al(htA-(;Juv- 'd h 0/12e. MANUFACTURED HOME Width: Z7 Loi, Length: 40,4,_La/" Year: z W -7 Pit Set: \//; Manufacture: C jQ y Loy Previous Address: N4 Proposed Use:' 5 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 Method of Payment: 0 Cash Bankcard #: Authorized Signature: REVISED 8/212005 0 Check 0 Mastercard Expires: Date Tie, /e. 2.0 0 VISA VI N#: 1 ler N•Ifs am mOtlisft ,t. am ... fg i :MI rylV frntras• x .....! 110 1 ler N•Ifs am mOtlisft OPTION CORNER TUB BATH UJ a. 0 5 am 1. MOM 11p1 1 Mt: gggg :MI rylV frntras• x .....! OPTION CORNER TUB BATH UJ a. 0 5 LOT 125 1827 N. MEADOWS PLACE NORTH. Scale: 1 in = 20 ft Prospective Resident Approval date date