2007, 07-02 Permit App: 07002530 MFH Project Number: 07002530 Inv: 1 Application Date: 7/2/2007 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 40 X 56 2007 GOLDENWEST Contact: MISSION MEADOWS LLC
Address: 15918 E CAMERON CT
C-S-Z: VERADALE,WA 99037
Setbacks:Front 20 Left: 10 Right: 10 Rear: 12 Phone: (509)953-3923
Group Name:
Site Information: Project Name:
Plat Key: Name: MISSION MEADOWS MHP MFG HOME PK 123 UNITS District: East
Parcel Number: 55083.9066 Block: Lot:
SiteAddress: 19416 E NORA LN Owner:Name: MISSION MEADOWS LLC
Address: 15918 E CAMERON CT
Location::CSV VERADALE,WA 99037
Zoning: UR-7 Urban Residential-7
Water District: 134 CONSOLIDATED ID#19 Hold: ❑
Area: 11.74 Acres Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: � ,nawrmerr:.�
Review
Landuse/Zoning/HE Conditions Released By: /,
Manufactured Home
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Item Description Units Unit Desc Fee Amount
INSPECTION FEE 2 #SECTIONS $100.00
Permit Total Fees: $100.00
Operator: JD Printed By: JD Print Date: 7/2/2007
Project Number: 07002530 Inv: 1 Application Date: 7/2/2007 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
ALL PERMIT APPLICATIONS IN MISSION MEADOWS MHP MUST HAVE PLANNING
DIVISION REVIEW BY MICKI HARNOIS OR GREG MCCORRMICK
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: JD Printed By: JD Print Date: 7/2/2007
a Permit Center
an S Cr,Il �=� \ �` IE � PERMIT NUMBER: C'
ane 11707 E Sprague Ave,Suit, UD: I _, n
p�T Spokane Valley,WA 9920 l_--/ PERMIT FEE: 1' k i
'* �e (509)688-0036 FAX:(509).:8 .037 IN 29
Community Development www.spokanevallev.org (f
FD) 1111 \111
Manufactured Home
Permit Application 'OTHER
SITE ADDRESS: I ( 41 4 E ✓v0r /Later- J yy, I
ASSESSORS PARCEL NO: 5 Q 0 3; 9U ,4,LEGAL DESCRIPTION: LV I Ai55/Ovj eadate 5 Mi/P
Building Owner: Contractor:
Name: 117'>5/0✓1 yi oa}.5 LLL Name: 04_04.eir,
Address: 6-9/6 , con,,ei rj„ Address:
City: ace)"Le ICU j/,,y state:Lv/4 zip: ,y037
City: State: Zip:
Phone: t-bi/ 953_3,23 Fax: 927._4175 7 Phone: Fax:
Contractor Lic No: Exp Date:
Contact Person City Business Lic.No:
Name: V:clk tit w 114 if 50✓1
Phone: 50'f—X7'3 --3 f2 23
Describe the scope of work in detail:
•
Sef.
net/Li /1`l C -( t.. L(v ci home
MANUFACTURED HOME
Width: Length: Year: 2007 Pit Set: ewer
Manufacture: 6oJdee W esfr
Previous Address:
Proposed Use: �5 C� � i
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 Date 2�/0 7
Method of Payment
•
0 Cash 0 Check ❑ Mastercard 0 VISA
Bankcard#: Expires: VIN#:
Authorized Signature:
REVISED 81232005
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LOT 88
19416 E. Nora LaneII PLANNING DEPT
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72
Scale: 1" = 20'
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Resident approval of site pla
Signature , date
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NORA LANE