2006, 05-22 Permit App: 06001931 MHProject Number: 06001931 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/22/2006 Page 1 of 2
Project Information:
Permit Use: REPLAVCE SINGLE WIDE W/ DOUBLE WIDE
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: Name: Range
Parcel Number: 55064.0814
Block:
SiteAddress: 18507 E LIBERTY AVE
Location:: CSV
Zoning: UR -7 Urban Residential -7
Water District:
Area: .00 Acres Width: 0
Nbr of Dwellings: 0
Nbr of Bldgs: 0
Review Information:
Review
Driveway/Approach
Septic Sys Review
Contact: BARNES ENTERPRISE
Address: PO BOX 141617
C - S - Z: SPOKANE WA 99214
Phone: (509) 921-9068
Group Name:
Project Name:
Lot:
District: East
Owner: Name: CAUDILL, LYLE L & BARBARA
Address: PO BOX 537
GREENACRES, WA 99016 -
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Landuse/Zoning/HE Conditions
Permits:
Contractor: BARNES ENTERPRISES INC
Address: PO BOX 141617
SPOKANE WA 99214
Item Description
INSPECTION FEE
wa
Released By:
Released By:
Manufactured Home
Firm: BARNES ENTERPRISES INC
Phone: (509) 921-9068
Units Unit Desc
2 # SECTIONS
Operator: AMB Printed By: AMB
Permit Total Fees:
Fee Amount
$100.00
$100.00
Print Date: 5/22/2006
,Project Number: 06001931 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/22/2006 Page 2 of 2
Payment 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 $100.00
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: AMB Printed By: AMB
Print Date: 5/22/2006
05/22/2006 08:05 5dy.31415bt
• Projcct NM )ET; 06001931 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project L19,rnati0m;
TO 3241567 P.01/03
Date: 5/22/2006 Page 1 of 2
Permit Use: ItEPLAVCE SINGLE WIDE W/ DOUBLE WIDE
Setback ;: ont Left ' Right: Rear:
Sire Infant UWOW.
Plat Ke y: Name: Range
Patce ( Niunber: 55064.0814
Block:
; :eA.ddress: 18507E LIBERTY AVE
Location:: CSV
Zoning: UR -7 Urban Residential -7
Water District;
Contact: BARNES ENTERPRISE
Address: PO BOX 141617
C - 5 - Z: SPOKANE WA 99214
Phone: (509) 921-9068
Group Name:
Project Name:
Nessameemoomerwerreammeakesearams
District; East
Lot;
Owner: Name: CAUDILL. LYLE L & BARBARA
Address: PO BOX 537
GREENACRES, WA 99016 -
Hold: 0
Area: .00 Acres Width 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
view 1 ►1 ration:
Driveway/Approach
Sept c Sys Review
[-Released By r '
SEWAGE SYSTEM
DESIGNED FOIMiti4sect
BEDROOMS ONLY.
Lang lu se/Zoning/HE Conditions
Permits: ..
(Roleased.By i, , w
Cottrac to:: BARNES ENTERPRISES INC
Address: PO BOX 141617
SPOKANE WA 99214
Iii n option
INSYE :::CION FEE
Manufactured Home
Firm: BARNES ENTERPRISES INC
Phone: (509) 921-9068
its Unit De$c
2 # SECTIONS
Permit Total Feec:
Fee Amount
$100.00
3100.00
Opera'o : AMB Printed By: AMB Print Date: 5/22/2006
MAY 22 2006 09:24
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5093241567 PAGE.01
05/22/2006 08:05 _ _509.321,1567
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TO 3241567 P.03/03
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MAY 22 2006 09:24
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** TOTAL PAGE.03 **
5093241567 PAGE.02
` Permit Center
.SI ,oane k11707E Sprague Ave, Suite 106 D
Spokane Valley, WA 99206 l
��lley (509)688-0036 FAX: (509)688-0031t
Community Development www.spokanevalley.org 7 -Th
!n)
Manufactured Home
Permit Application
!OMIT NUMBER ( q 31
F4MIT FEE:
SITE ADDRESS: /89)7 e• �t B try
ASSESSORS PARCEL NO: 5 j 01, 14.
LEGAL DESCRIPTION:Donwopk East Sid) ti q B
Building Owner:
Name: 0/4Q )e5 tn4. TnC .
Address: Co 6o/, ) if (6 i -?
City: 5e,oi« I); ‘.,s State: e,A Zip: 992/y
Name: Lyle Cyia.,
Conti to Licc�tcNo:csP� Exp Date: 6- I ') -o
15
City Business Lic. No:
Address: /6)3-0 7 L . L ; 3.,.
2 #-
City: Seo k U (Li
State: ,A ,
Zip: 9% 2/
6
Phone: eici$ _ S) 7 e
Fax:
Contact Person
Name: 3O I} ,N Q A R n cS
Phone: 5c7- / - 3 6'
Describe the scope of work in detail:
Contractor:
Name: 0/4Q )e5 tn4. TnC .
Address: Co 6o/, ) if (6 i -?
City: 5e,oi« I); ‘.,s State: e,A Zip: 992/y
Phone. Fax: Sag - `> z t_ 8 `/ iii-
Conti to Licc�tcNo:csP� Exp Date: 6- I ') -o
15
City Business Lic. No:
�h3fik11 New ►7Ovfiie. 1De_ ( tfe oir 5745Ie Ct.)A-$.
MANUFACTURED HOME
Width:
aco,8,
Length: 6O ,
Year: tie w zoos
Pit Set:
yes
CSp3S,esw\,
anufacture: U {-nein ki'•+y
Previous Address:
Proposed Use:
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 8/23/2005
0 Check
❑ Mastercard
Expires:
Date .S (7 Cp
❑ VISA
VIN#:
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