2007, 03-20 Permit App: 07000791 MH Project Number: 07000791 Inv: 1 Application Date: 3/20/2007 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: PLACEMENT 1975 SEQUTA Contact: ARNOLD,ALLEN&KRISS
Address: 11225 E 36TH AVE
C-S-Z: SPOKANE,WA 99206-9609
Setbacks:Front 30 Left: 35 Right: 18 Rear: 65 Phone: (509)370-4755
Group Name:
Site Information Project Name:
ram... :. M. m....
Plat Key: Name: Range District: East
Parcel Number: 55064.0915 Block: Lot:
SiteAddress: 3317 N VELOX ST Owner:Name: ARNOLD,ALLEN&MUSS
Address: 11225 E 36TH AVE
Location::CSV SPOKANE,WA 99206-9609
Zoning: I-2 Light Industrial
Water District: 134 CONSOLIDATED ID#19 Hold: ❑
Area: 11,625 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review In formation: .._., .: ..,_•_ • - av
Review
Septic Sys Review Released By:
SEWAGE SYSTEM DESIGNED FOR 2 BEDROOMS ONLY PER HEALTH-JD
Originally Released: 3/20/2007 By: jdavis
Landuse/Zoning/HE Conditions Released By:
Originally Released: 3/13/2007 By: MBASINGE
Permits: r.
..... ,^°ems �.�..: " �'.'�x.'.._. �sfi; �.��,*. `.-`. ,.,. ... ....--:ria,.�:$'�.,=. :'v �.e;�`.�. s�:.z .r.. a-.rer.� ""
a °�-
Manufactured Home
Contractor: BUD'S&DOUG'S MH SVC LLC Firm: BUD'S&DOUG'S MH SERVICE L
Address: 17906 E COWLEY AVE Phone: (509)926-3626
GREENACRES,WA 99016
Item Description Units Unit Desc Fee Amount
INSPECTION FEE 1 #SECTIONS $50.00
Permit Total Fees: $50.00
Operator: JD Printed By: JD Print Date: 3/20/2007
•
Project Number: 07000791 Inv: 1 Application Date: 3/13/2007 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: PLACEMENT 1975 SEQUIA Contact: ARNOLD,ALLEN&KRISS
Address: 11225 E 36TH AVE
C-S-Z: SPOKANE,WA 99206-9609
Setbacks:Front 30 Left: 35 Right: 18 Rear: 65 Phone: (509)370-4755
Group Name:
Site Information Project Name:
Plat Key: Name: Range District: East
Parcel Number: 55064.0915 Block: Lot:
SiteAddress: 3317 N VELOX ST Owner:Name: ARNOLD,ALLEN&KRISS
Address: 11225 E 36TH AVE
Location::CSV SPOKANE,WA 99206-9609
Zoning: I-2 Light Industrial
Water District: 134 CONSOLIDATED ID#19 Hold: ❑
Area: 11,625 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review In formation: -ice m w. - :w n d ,: .4
Review
Septic Sys Review Released By:
Landuse/Zoning/HE Conditions Released By: `
Manufactured Home
Contractor: BUD'S&DOUG'S MH SVC LLC Firm: BUD'S&DOUG'S MH SERVICE L
Address: 17906 E COWLEY AVE Phone: (509)926-3626
GREENACRES,WA 99016
Item Description Units Unit Desc Fee Amount
INSPECTION FEE 1 #SECTIONS $50.00
Permit Total Fees: $50.00
Operator: JD Printed By: JD Print Date: 3/13/2007
Project Number: 07000791 Inv: 1 Application Date: 3/13/2007 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: PLACEMENT 1975 SEQUTA Contact: ARNOLD,ALLEN&KRISS
Address: 11225 E 36TH AVE
C-S-Z: SPOKANE,WA 99206-9609
Setbacks:Front 30 Left: 35 Right: 18 Rear: 65 Phone: (509)370-4755
Group Name:
Site Information:
Project Name:
Plat Key: Name: Range District: East
Parcel Number: 55064.0915 Block: Lot:
SiteAddress: 3317 N VELOX ST Owner:Name: ARNOLD,ALLEN&KRISS
Address: 11225 E 36TH AVE
Location::CSV SPOKANE,WA 99206-9609
Zoning: I-2 Light Industrial
Water District: 134 CONSOLIDATED ID#19 Hold: ❑
Area: 11,625 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: ;.4
Review
Septic Sys Review I Released By:
Landuse/Zoning/HE Conditions k Released By:
Manufactured Home
Contractor: BUD'S&DOUG'S MH SVC LLC Firm: BUD'S&DOUG'S MH SERVICE L
Address: 17906 E COWLEY AVE Phone: (509)926-3626
GREENACRES,WA 99016
Item Description Units Unit Desc Fee Amount
INSPECTION FEE 1 #SECTIONS $50.00
Permit Total Fees: $50.00
Operator: JD Printed By: JD Print Date: 3/13/2007
03/14/2007 08:12 5093241567 SRHD EHS PAGE 01
Ma 2007 14:27 FR COSY PERMIT CENTER, 5096980037 TO 3241567
P.01/02
,...."1,(‘����� Date: 3/13/2007 Page 1 of 2
.: :lig m)[t: 000791 Inv: 1 Application
..... - THIS IS NOT A PERMIT
' P` alties will be assessed for commencing work without a permit
• 0 111111 at---
Contact: ARNOLD,ALLEN&KRISS
errnit Use: }'LACEMENT 1975 SEQUIA Address: 11226 E 36TH AVE
C-S-Z: SPOKANE,WA 99206-9609
Setbeck:::Ft out 30 Left: 35 Right: 15 Rear: 65 Phone: (509)370-4755
Name:
Project Name:
Site InlientcJi .. Dittixict: East
Plat Key. Name: Range _
Par cel:3ttmber: 55064.0915 Block Lot:
ii eAddreae: 3317 N VELOX ST Owner:Name: ARNOLD,ALLEN&KRISS
Address: 11225 E 36TH AVE
Location::CSV SPOKANE,WA 99206-9609
Zoning: 1-2 Light Industrial
Wata District 134 CONSOLIDATED ID#19 Hold: 0
Area: 11,625 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review I4n7natIcfl .. _
.Rc:vi el v ry �t i .� .
{RelensCd ' i b 1��i� 1' /'",� _aC.* ,:!: •' 4
Sept.e Sys}tevew $'
k-----------------
L2.n1 it se/Zoning/HE Conditions ,... Rdleased,,Ca7' ?i :s th ' . j . ...
Permits: e. A.......n'sr.` wa.ax
_. --- _—..._.. Mamidise„red Home _..
Comae to: BUD'S&DOUG'S MH SVC LLC Firm: BUD'S&DOUG'S MH SERVICE L
Address: 17906 E COWLEY AVE Phone: (509)926-3626
GREENACRES,WA 99016
LI=12 a utlio Units Unit Desc Fee Amount
TNSPE'2rION FEE 1 11 SECTIONS — _ 550.00
Permit Total Fees: 350.00
Operaa'o r: JD Printed By: JD Print Data: 3/13/2007
MAR 14 2007 08:08 5093241567 PAGE.01
Project Number: 07000791 Inv: 1 Application Date: 3/20/2007 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
SEWAGE SYSTEM DESIGNED FOR 2 BEDROOMS ONLY
Payment Summary: -,_ -x-M 74..� . ,s, MaM4M. ... �,�: � .... ;a �
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Manufactured Home $50.00 $50.00 $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: 3/20/2007
•
Project Number: 07000791 Inv: 1 Application Date: 3/13/2007 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary .
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Manufactured Home $50.00 $50.00 $0.00 $50.00
$50.00 $50.00 $0.00 $50.00
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: JD Printed By: JD Print Date: 3/13/2007
SjPermit Center
okane 11707 E Sprague Ave,Suite 106 PERMIT NUMBER:079,1
Spokane Valley,WA 99206 PERMIT FEE:
....*Valley (509)681-0036 FAX:(509)688-00 7-
Community Development wwW.-Ok eN(41)e orti `1 ii
-,-Th)
f
Manufactured Home MAR 1 ;' 2007 - -
Permit Applicatiol) • i OTHER , �. ��vJ X405
1 i f; !i_ 1j LLj I' \\\
SITE ADDRESS: 330 t • \I(... x, 6l • P64)%440,0 &iSl 06 Lr1-N5
ASSESSORS PARCEL NO: 5 5 o b i,d l 1$ LEGAL DESCRIPTION: Q L g. 'e) * L\ 3D lrt i�UOT J.4 C, (-C/
BuildingOwner: Contractor: ✓a 43 S 7-(1 / '
a ,3 ubv(aLS
Name: .[1 LA) A� o Name:
Address:c' t 3�, V.R.,� Address:(J. b. v 71 y
r
City:sP0lkvtotr OA.u �S� Statei,mz4 Zip: iia if. City: 90 ,.1llt�l State: W mt.! Zip:, Q atb
Phon% Fax: Phone: "`�'( Fax:
? b' 7.55 9gd - .556,0 �-t.t(9 - z (o 01 107 - 01 40 $
Contractor Lic No: Exp Date:
Contact Person � City Business Lic.No:
.ia
Name: A Ll ,J. ►,�+L A b —
Phone: 7D- (4 SS'
Describe the scope of work in detail: J'N.o J 0,3 l5 Ai cs 2 LES it 6-\\(.6- 7
3 3 a A). J a c,c))t 5 6
MANUFACTURED HOME
Width: ' Length: ,�D Year: ? S Pit Set: (Sei Sewer:
Manufacture
t q" S sat? u A
Previous O��ls
A%direr Q Ikkv- la p,.1v, a 2i ti CAL-cs6 i r(0.16 73D.)
Proposed Use:
SLNtsLC—R.IfS IOts".""
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 processedAO
Signature , (.2e____ Date Z_4)7
Method of P yment
0 Cash 0 Check 0 Mastercard 0 VISA
Bankcard#: Expires: VIN#:
Authorized Signature:
REVISED 8232005
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