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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 $100.00 3100.00 Opera'o : AMB Printed By: AMB Print Date: 5/22/2006 MAY 22 2006 09:24 rr m110114rra m:1 5093241567 PAGE.01 05/22/2006 08:05 _ _509.321,1567 • /Zo i 5Kt1V TO 3241567 P.03/03 w a�4 f 2 (p' • / E. 1850^7 1 MAY 22 2006 09:24 �.iB6Rf� ** TOTAL PAGE.03 ** 5093241567 PAGE.02 ` Permit Center .SI ,oane k11707E Sprague Ave, Suite 106 D Spokane Valley, WA 99206 l ��lley (509)688-0036 FAX: (509)688-0031t Community Development www.spokanevalley.org 7 -Th !n) Manufactured Home Permit Application !OMIT NUMBER ( q 31 F4MIT FEE: SITE ADDRESS: /89)7 e• �t B try ASSESSORS PARCEL NO: 5 j 01, 14. LEGAL DESCRIPTION:Donwopk East Sid) ti q B Building Owner: Name: 0/4Q )e5 tn4. TnC . Address: Co 6o/, ) if (6 i -? City: 5e,oi« I); ‘.,s State: e,A Zip: 992/y Name: Lyle Cyia., Conti to Licc�tcNo:csP� Exp Date: 6- I ') -o 15 City Business Lic. No: Address: /6)3-0 7 L . L ; 3.,. 2 #- City: Seo k U (Li State: ,A , Zip: 9% 2/ 6 Phone: eici$ _ 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#: • 1 /\ j0 ‘NP• 0\9 Z6' 5%-,51it 5tpix, - 7 I r /0'