2006, 05-30 Permit App: 06002042 MHProject Number: 06002042 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/30/2006 Page 1 of 2
Project Information:
Permit Use: PLACE 26 x 60, 2006 MANUFACTURED HOME,
ON SEPTIC
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Name: VALLEY VIEW ADD
NP..,"`.;_ W WINN :::: r:;.N.i§!NC, :.r.
Contact: BARNES ENTERPRISE
Address: PO BOX 141617
C - S - Z: SPOKANE WA 99214
Phone: (509) 921-9068
Group Name:
Project Name:
NNINNIt
District: East
Parcel Number: 55181.1939
Block: Lot:
SiteAddr i&LIRO�g. 0 VI TKKNOWN ADDRESS AV Owner: Name: GOLLY, JIM
€- MrsfroA/AtkAddress: 1841 N SALMON RIVER LANE
SPOKANE VALLEY, WA 99016
9a 7 -7 4-! '70 -
Ho d: ❑
Area: 14,288 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
5(3(lO(o
Location:: CSV
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: .;
Review
Septic Sys Review
i -C A)ect
Landuse/Zoning/HE Conditions
Permits:
Released By:'.
Contractor: BARNES ENTERPRISES INC
Address: PO BOX 141617
SPOKANE WA 99214
Item Description
INSPECTION FEE
INNIINNINNIEINNWONI
Manufactured Home
Firm: BARNES ENTERPRISES INC
Phone: (509) 921-9068
Units Unit Desc
2 # SECTIONS
Fee Amount
$100.00
Permit Total Fees: $100.00
Operator: AMB Printed By: AMB Print Date: 05/30/2006
Permit Center
Spokane0001.11\11707 E Sprague Ave, Suite 106
Sp09)68okane Vall8-0036ey,FAX: WA 99206
y (5 (509)688-0037
Community Development www.spokanevalley.org
Manufactured Home
Permit Application
OTHER
PERMIT NUMBER , 0 LID-,
PERMIT FEE: ; fjyt:50
SITE ADDRESS: . /Y7) S $J /'J 7)3 D ,
ASSESSORS PARCEL NO: 5375- ,) 3")LEGAL DESC
Building Owner: J i/'1 -)- n f d/3l f e --)D I ) y
Name: 3 6 ijA)
Name: 5 A f�
Address: / 5-V) , ,-,9 L!'') g Ai ,Qt v4 A. Liv .
City: ..541 1LiNi:_- vAlze l State: .1/\,),7_Zip: 9e,/
4
Phone:Z� _ �) '9 4 Fax:
Zip:
Contact Person
Name: J I f'7 C7 &/% y
Phone: 9 7— 21/7 Z
Describe the scope of work in detail:
V/ AVD) nen)
7S' Pc'# /v, 1 e.,5 T of
ALX
Contractor: Ail, A/F 1j e , 7(,,,e l 5
Name: 3 6 ijA)
.6j4 /Are S
Address:
City:
State: �1 ,
//
Zip:
Phone: 2 I _ 9e, 6
Fax:
Contractor Lic No:
Exp Date:
City Business Lic. No:
5 �O vie Ail )7701 -
C o 1'V �> r �� 1'D ti fl) p %L) A/ 'If" v1) %-72,0 61 % 14 9%/ e1- 1-11444
MANUFACTURED HOME
Width: 2 53-
Length: 40
Year: ae
Manufacture:
Previous Address:
Proposed Use:
Pit Set:
/if
Septic/ wer�
v4 L Li ' 4 qq / L , 7 -)J f7') 7V 1/1 >r G� 2f '74-1)1L_
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 heck ❑ Mastercard 0 VISA
Bankcard #: Expires: VIN#:
Date
Authorized Signature:
REVISED 13!232005
06/02/06 12:38 27509 324 3603
Mia r 30 2006 10:58 FR
Project N1 nnber. 06002042 Inv: I
SPU Kt;(ilUNAL HLA
TO 3241567
Application
TIM IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiei %:for:tatiors:
Permit I rs _. PLACE
L EP 26C 60, 2006 MANUFACTURED ROME, Contact: BARNES ENTERPRISE . ......,.
ON Address: PO BOX 141617
C - S - Z: SPOKANE WA 99214
Phone: (S09) 921-9068
Group Name:
Project Name:
Date: 05/30/2006
P.01/04
Setb:ic;s: Front Left: Right Rear
Site imAt nation:
Plat Key:
Pa cc! Number 55181.1939
Name: VALLEY VIEW ADD
Block:
SiteAddress: 0 E YJNKNOWN ADDRESS AV
Location:: CSV
Zoning: URaS Urban Residential 3.5
Water District
Area: 14,288 Sq Ft
Width; 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Intimation:
Refine
Sn t c Sys Review
UV1/ VV1
Page 1 of 2
Lot
District: East
Owner: Name: GOLLY, JIIVI
Address: 1841 N SALMON RIVER LANE
SPOKANE VALLEY, WA 99016
Hold: 0
Depth: 0 Right Of Way (ft): 0
Lax d use/Zoning/HE Conditions
Pamirs: s
Manufactured Home
Firm: BARNES ENTERPRISES INC
Phone: (509) 921-9068
Contrac to 7: BARNES ENTERPRISES INC
Address: PO BOX 141617
SPOKANE WA 99214
> D:3,riatiag
INSFE(; CION PEE
Units Unit pest
2 # SECTIONS
OperatcT AMB Printed $y. AMB
JUN 02 2006 14:14
Permit Total Fees:
e oust
$100.00
$100.00
Print Date; 05130/2006
509 324 3603 PAGE.01
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551.
18401
55181
18404
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1842
55074.1578
55181.1915
18425
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http://dorado/mox42/index.cfm?action=mox42 broker imagestream 06/02/2006
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DISCLAIMER THESE SYSTEMS HAVE
AN INDEFINITE SERVICE LIFE THE
DESIGNER MAKES NO WARRANTY OR
GUARANTEE AS TO THE SERVICE
LIFE OFTHIS SYSTE A.
i&VtJc6p 78
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SYSTEM CoAlVERTldNA/ IRA -IT/ FL &I
APPLICATION#: '6-4g
PARCEL#: c5?t/. /937
SITE: P/NSA/8/. /937 py?1 E MlsSnN AvE.
bREENAtRES, ►..7A C
OWNER M &O[L
ADDRESS: ! Al. SA M enlE72. �r
5 KA#L VML4y W4 44016
PHONE:t.CM Z7 -7g71 / CSo{)92S-414416
1 CERTIFY THAT THIS DESIGN MEETS
ALL RULES AND REGULATIONS OF THE
WASHINGTON STATE DEPARTMENT
OF HEALTH AND THE SPOKANE
REGIONAL HEALTH DISTRICT
��115/On(
?!EVMNARY
EXPIRES: 5112/07
.- I/ -OG
Eugene F. Fisher, FYI
3504 N. Kenney Rd
Ods Orchards, WA SX,27
(509) 927-0120 /217-0007
Fax (5099) 9-27-0123
errm,7: rmriems7„h.;.ti€to v.:Ji.czni
Project Number: 06002042 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 05/30/2006 Page 2 of 2
Notes x.s...< .a.. V,
Payment Summary_
Permit Type
Manufactured Home
Fee Amount Invoice Amount
$100.00 $100.00
;,,, ,,;Z.;. urx, i`.-.`-. " n... r'. ^4, kip a -' —
Amount Paid
$0.00
Amount Owing
$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: 05/30/2006
PLANNING DEPT. APPROVE
BY:
DATE: 313
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