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