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2007, 09-28 Permit App: 07003590 MHProject Number: 07003590 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/28/2007 Page 1 of 2 Project Information: Permit Use: 14 X 66 1983 MARLETTE Setbacks: Front Left: Right: Rear: Site Information: Plat Key: Name: Range amu:weem -2,1magmwe., ,- ;- Contact: CARL HOCKHALTER Address: PO BOX 376 C - S - Z: ELK, WA 99009 Phone: (509) 292-0855 Group Name: Project Name: Nattatang District: East Parcel Number: 55192.1813 Block: Lot: SiteAddress: 520 S TSCHIRLEY RD Owner: Name: CARL HOCKHALTER Address: PO BOX 376 Location:: CSV ELK, WA 99009 Zoning: UR -7 Urban Residential -7 Water District: 134 CONSOLIDATED ID #19 Hold: ❑ Area: 11,450 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Review Information: Nbr of Dwellings: 0 Review Septic Sys Review Released' By: SEWAGE SYSTEM DESIGNED FOR 3 BEDROOMS ONLY SAME LOCATION PER LANCE @ HEALTH Originally Released: 9/26/2007 By: jdavis Landuse/Zoning/HE Conditions Permits: Tie downs for 1983 Marlette Released By: Originally Released: 9/18/2007 By: MPALANI Contractor: OWNER Item Description INSPECTION FEE !SISMAIMPOIMMISMNIONMEM Manufactured Home Firm: OWNER Phone: (000) 000-0000 Units Unit Desc 1 # SECTIONS Operator: JD Printed By: JD Fee Amount $50.00 Permit Total Fees: $50.00 Print Date: 9/28/2007 - Project Number: 07003590 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/28/2007 Page 2 of 2 See plat file for TURTLE CREEK SOUTH 2ND for special drainage requirements Payment Summary: gazareyAmogeor MakettnsnaIM-- Permit Type Manufactured Home $50.00 Fee Amount Invoice Amount $50.00 Amount Paid Amount Owing $0.00 $50.00 $50.00 $50.00 $0.00 $50.00 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: 9/28/2007 09/25/2007 13:13 5n:32415b / ,� Permit Center a 11707 E Sprague Ave, Suite 106 � �n�)O���1_(�L Spokane Valley, WA 99206 .40•01.°. ► ���il� (509)688-0036 FAX: (509)688-0037 Community Development `..wta.;.polca;reyallev. os Manufactured Home Permit Application SITE ADDRESS: ASSESSORS' PARCEL NO: S51 ci 2 • 1 9 13 Building Ov ner: Name: Co- kr- . `T ytriyc -- 0Ck\f‘ Q. Address: R.o. soK 3 7 ( City: -5 IL State: G.i zip: 99oo9 Phone: Wi , A9 :L • o .G -S Fax: Contact Person' Name: 1_r Phone: „O 9. 01`7 2. O OSs` o v 939 -9,/,-(c.)4)-5t1.-7 1 1 x6J4S ‘1)-142v4-?r;Gr To MANCJI`AC URED HOME Describe the scope of work in detail: OTHER 000,4—q32-1 th�lQy/trs4,1,0 20g L. LEGAL DESCRIPTION:fl Contractor: 1 Name: Co, - Ii(i`�, \r‘a.N rQ, Address: .p•Q plot <3 7 t City: Elk State: i Zip: 9009 Phone: s-0 A 9 , ogs5- Fax: Contractor Lic No: N/ Exp Date: City Business Lic. No: �� 1983 Width: /�J f Alanufacture: Length: t0 ,) Previous Address: Proposed Use: 1 Year: / 963 [ Pit Set: x) Septi Sewer: .al The permltee verifies, acknowledges and agrees b their signature that: 1) If this permit Is for co rustle of or oa weiin9, the dwelling is/will be served by potable water. 2) Own hip of this City of Spokane Valley Permit inure to the property ovfer. 3) The signatory is the property owner or has permission to rep ant the property owner in thls transaction. 4) All constryctron Is to be done In full compliance with the City of Spokane Valley Developm tide. Referenced codes are available for revi.ev/f at the City of Spokane Vellley Permit Center. 5) This City of Spokane Valley Pe?Prrit-is,aot a permit or approval for any -v1 tlon of federal, state or local laws, codes or ordinances, 6) Plans or additional information may be reqfatred-tobe-subrr1td, and subsequenUy approved before this application can b rocessed. p ��•O7 Signature Date — Method of Payment: ❑ Cash Bankcard #: Authorized Signature: REVISED e./ 23/21106 ..EI- 25 2227 14:06 ❑ Check ❑ Mastercard Expires: tg VISA VIN#: This document originally contained confidential credit card information which was redacted pursuant to RCW 19.255.010 and the original document destroyed pursuant to SOS DAN GS2014-030. REDACTED 5073241567 PAGE.21 Permit Center Spokane 11707 E Sprague Ave, Suite 106 .0 j Valle Sp09)688-00okane Valley36 FAX:, WA 99206 (5 (509)688-0037 Community Development www.spokanevalley.or2 Manufactured Home Permit Application OTHER PERMIT NUMBER: �() PERMIT FEE: SITE ADDRESS: ,-5•0 s. Ts Q'L r `eJ ) Seo � e Vat, \4?,,� , w IR 5 90 /6 -432. I LEGAL DESCRIPTION: (sib $ ,k� L • ASSESSORS PARCEL NO: S.5-1 i2 • 1 0 13 Building Owner: , ` Name: C. 4, &nc�vc� tibc \ o. \ .Y' Address: pt), zaK 3 'i 4 City: �' k State: li.i 14 Zip: ?9009 Phone: j . a9 2 . 08�s— Fax: Contact Person Name: Coo/ L. ) c ono. r Phone:: O 9 a 92. 0855' o r 939 -94-4 Contractor: Length: foto, Name: Cc" T7DG`C, \na.\.tr 2 r L / 1 ` Address: v. c5 . j2Ojc3 76, Septi Sewer: City: gIk State: LA) A Zip: 19001 Phone: go 9 • a 9A. ce� Fax: Contractor Lic No: N/! Exp Date: /Y /0 City Business Lic. No: �/A Describe the scope of work in detail: Fl st ^q l,.L tops IL V4 ��; or TO /983 vtkere \ moons , On Pi 8-6 ri) a r 44. l�a MANUFACTURED HOME Width: hi 1 Length: foto, Year: 19" Pit Set: /0 Septi Sewer: Manufacture: 111a r e Previous Address: A)t t.Jl 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 brocessed. Signature Method of Payment: ❑ Cash Bankcard #: Authorized Signature: REVISED 8/23/2005 D Check ❑ Mastercard Expires: Date i D 7 IA VISA VIN#: REDACTED This document originally contained confidential credit card information which was redacted pursuant to RCW 19.255.010 and the original document destroyed pursuant to SOS DAN GS2014-030. PLANNING DEPT. APPROVED BY: 41'42,, DATE• 9/%'l 7