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2013, 09-17 Permit App: FAS-2013-0015 MHSpokane 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 permitcenterPspokanevalley.orq (Staff Use Only) PERMIT NUMBER: PERMIT FEE: MANUFACTURED HOME PERMIT APPLICATION ❑ OTHER SITE ADDRESS: \ 3 111 .) _ \ Q L 1 ASSESSORS PARCEL NO.:,, 1---)D,_,;(.../ IJ%LEGAL DESCRIPTION: BUILDING OWNER NAME: L E(1C)\.. 30<,, ‘ NAME: L e n cA OD, Q ADDRESS 1S-`� ) Lol 3 CITY: ii ,T U1 t l 9 STATE: PHONE: SC �— Cc' --1 %FAX: CELL: CONTACT NAME: Le vac PHONE:5(D q 1 r2 FAX: CELL:` )roo \OSDC3 ii ZIP: c \ !Project 0Q( CONTRACTOR NAME: MAILING ADDRESS: CITY: `'7?013 OSV PE�PMIT CENTEf? STATE: ZIP' PHONE: FAX: CELL: HEIV CONTRACTOR LICENSE No.: EXPIRES: CITY BUSINESS LICENSE NO.: DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE: MANUFACTURED HOME WIDTH: CL. MANUFACTURED HOME LENGTH: YEAR OF MANUFACTURED HOME: () PIT SET: SEPTIC/SEWER: MANUFACTURER: PREVIOUS ADDRESS: 11.10 Of\ t_)/J--SCk C_ -C---<A- 1 CY-1 e PROPOSED USE: VAc-y,f DISCLAIMER 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 � I Pk("N , X.k ,i DateI) / )�� Updated 1-11-11 http://www.spokanevalley.org/filestorage/124/938/210/948/ 1496/Manufactured_Home_Permit_1-11-11.doc Page 1 of 1 REINSPECTION FEE RECEIPT Date Transmittal No. Application No B 301 OWNER INSTALLER Mailing Address Phone OWNER Mailing Address INSTALLATION PERMIT RECEIPT Transmittal No. Pho 1. Date plication No B 3011 INSTALLER Jer.e.e/0---,t/ Phone Phone Transmitt No SPOKANE COUNTY HEALTH DISTRICT W. 1115 Mallon 456-2340 Spokane, Washington 99201 Date –4/5/477 Application No B 3011 37, 7 APPLICATION TO INSTALL OR RECONSTRUCT SEWAGE DISPOSAL FACILITIES -6 ti , d.. i i (.. Mailing OWNE , • - t 1/4;_,.„, Address Phone Address/Legal Description Cast- t83413 Type . : No. of Of Use '1 14 ' (--•', i-,;' V.–).-4.2—. Bedrooms ...-- Basement? Yes (No; Sewer .. , Discharge? Yes ' No OR Private Source Water Supply: Public (Name) Replacement? Yes No Fill Approval Date Building Sewer Elev. Ft. Below Finished Grade - Septic Tanli7<0 Length of - Drywell Capacity 1 Gals. Dispersal Piping /.1-16, Ft Drywell? Yes ' Capacity Gals. Other Flow/Day Gals. Management Systems? Yes No REMARKS No. Of No. Of Acres Dwelling Units Mgt Name Projec 521; tcOf3 APPLICANT: 477 RECEIVED CSV PFRMITrPUTER S Ll F3 , Mailing APPLICATION BY )r- • /Address _ / ? T. • ( RFv. 4, 1.----- t1(1 ...._...._ I.LIO .‘k 4 ( Application: Approval/Date Expiration Date Phone / r.s v 11 Project RLUENEU S.7? 2 7 2013 CSV PERMIT CENTER SUBL REV. I I • 4 !rt) sk wi Bedroom 3 120 Wardrobe • J OWN -Room UV" . w. Living Room t8'8' 9bx5SH Modal: KMGK-60862 1600 sot,. Ft. 3 Bedroom, 2 Bath W/ Retreat 6010" t 46 av 0.0 00 IIMMA•MENEM■ EININIMMM.■ Kitchen t. •1•U■ 1=111111 \N 30x58V Master Bedroo n 14V 30x58V M, Both . Io - 0 AEPLEWAY HOMES INC 11400 N. WARREN ST HAYDEN, IIS 83835 (208) 772-3538 The Karsten McKenzie • 1600 Sq Ft • 3 Bedroom, Breakfast Nook, 2 Bath ,o 1 PLANNING DEPT. A Karen Kendall From: Copley, Don [DCopley@srhd.org] Sent: Monday, October 14, 2013 10:40 AM To: Karen Kendall Subject: east 18316 Liberty Hi Karen, The Health District received a proposed plot plan for the above address showing a replacement of a single wide mobile home with a double wide mobile home in-kind. The maximum number of bedrooms approved on Application B 3011 Dated 2/15/77 is for two bedroom . If the applicant wants to increase the sewage flow to three Bedrooms they will need to contact a licensed designer or engineer and pay an application fee of 300.00 permit fee of 130.00 and test hole fee of 180.00 min. The health district will approve the use a two bedroom home. If you have any questions please call me at 324-1584. Don Copley Spokane Regional Health District 1101 W College Ave, Ste 402 Spokane, WA 99201 phone: 509-324-1584 www.SRHD.org Always working for a safer and healthier community. 1