2006, 11-21 Permit App: 06004607 MH Project Number: 06004607 Inv: 1 Application Date: 11/21/2006 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: PLACEMENT FOR 1977 24 X 60 CHAMPION MH Contact: SCHULTZ,GERALD
Address: 3517 N VELOX ST
C-S-Z: SPOKANE VALLEY,WA 99216
Setbacks:Front Left: Right: Rear: Phone: (509)714-4663
Group Name:
Site Information: Project Name:
Plat Key: 000646 Name: DONWOOD EAST District: East
Parcel Number: 55064.0307 Block: Lot:
SiteAddress: 3517 N VELOX ST Owner:Name: SCHULTZ,GERALD
Address: 3517 N VELOX ST
Location::CSV SPOKANE VALLEY,WA 99216
Zoning: I-2 Light Industrial
Water District: 134 CONSOLIDATED ID#19 Hold: ❑
Area: 1,000.00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: .f. .__ .a:.
Review
Building Plan Review Released By:
Septic Sys Review Released By: "
L' _Y (a .ri C C:c:- �- ��ssti,.ti c c ,� :>C C . Lc( (s�
Landuse/Zoning/HE Conditions Released By: -�v�._ \‘, 4
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: jmm Printed By: jmm Print Date: 11/21/2006
11/21/2006 10:25 5093241567 SRHD EHS PAGE 01/01
• NL. 21. 2006 10 25 FR ( TO 3241567 P.01/02
Project Nwn er: 06604607 Inv: 1 Application Date: 11/21/2006 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project:nLirmation:
Permit Ilse; PLACEMENT FOR 1977 24 X 60 CHAMPION MB Contact: SCHrULTZ,GERALD
Address: 3517 N VELOX ST
C-S-Z: SPOKANE VALLEY,WA 99216
Setbacts Front Left: Right Rear Phone: (509)714-4663
Group Namc:
Site Infim ri gition: Project Name:
Plat.K 000646 Name: DONWOOD EAST District: But
Parc:l Number: 55064.0307 Block: Loi_.__.___.___..._. —
S
iteAddress: 3517 N VELOX ST Owner Name: SCHULTZ,GERALD
Address: 3517 N VELOX ST
Location::CSV SPOKANE VALLEY,WA 99216
Zoning: 1-2 Light Industrial
Water District: 134 CONSOLIDATED ID 019 Hold: ❑
AMC 1,000.00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0 •
Nbr of Bldgs: 1 Nbr of Dwellings: 1 •
•
Review 114 rntatioLL;,
Rgv_gLr 1
$wild ng Plan Review
SEWAGE SYSTEM 7
E §+( O AOR_ - — - . ,.. ..._..._.. __....
- . eMS ONLY.._._ .?-•0''`c .
Lim'luse/Zoning/HE Conditions
•
+h 23 }.t'i�� '':yi`=f�;,. i''':ih a•�eFb f t` ':
Pere;
v_ .„_.,_ Marerefaoetered Home
Goatee en: OWNER Firm: OWNER
Phone: (000)000-0000
stn D.9 Units Unit Dose Pee AMMO
INSI EI CION EE 2 #SECTIONS $100.00
Permit Total Fees: $100.00
Opera)a ,faun Primed By: jmm Print Date: 11/21/2006
NOL) 21 2006 10:48 5093241567 PAGE.01
•
Project Number: 06004607 Inv: 1 Application Date: 11/21/2006 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
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: jmm Printed By: jmm Print Date: 11/21/2006
r 0it
Permit Center•
^
Spoarykane 11707 E Sprague Ave, Suite 1100 j _1!PERMIT NUMBER: '//
�SValle Spokane Valley,WA 99206 NOV 2 PERMIT FEE:
(509)688-0036 FAX: 509 E 8037
Community Development www.spokanevalley.org ----
Manufactured Home
Permit Application OTHER
SITE ADDRESS: 357 7 / ' Ve L! ><-
ASSESSORS
<ASSESSORS PARCEL NO 3 4-'Ge`f, d 3e 7 LEGAL DESCRIPTION:P44.1,uvuP L7-4 s r Ir 7 B Lk 'e,�T
Building Owner: Contractor: 0 4,1„,;
Name: Name:
�t rekt 4- CviS SChct6-r2_
Address: 3 5--p-7A,• t i✓eLpx Address:
City:5-re int UQLIe y Stater Zipyy. % City: State: Zip:
Phone: - 9 7/1/ y6/6 3 Fax: Phone: Fax:
Contractor Lic No: Exp Date:
Contact Person City Business Lic.No:
Name: v._(._j $c4
Phone: -5-4 9 7/9 sta3
Describe the scope of work in detail:
Am r-r FQv- p Cmc c wt e a ri) •e" rCfl c_l'rre-y) trot � -�- X (5747 iti?
MANUFACTURED HOME
Width: Length: -n Year: y.77 Pit Set: Al v 6epticlSewer:
Manufacture: J./a v 4.1
Previous Address: Al)e u�
Proposed Use: S)if Z e ,t t y ee S
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 44,,,,,e,4- -':r Date .1to
/400
Method of Payment:
0 Cash 0 Check 0 Mastercard 0 VISA
Bankcard#: Expires: VIN#:
Authorized Signature:
REVISED 8/23/2005
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PLANNING DEPT. APPROVED O' -E0N j.T 5.--r-e)RU-
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BY:C�\iR n Q\_/\
DATE: 1 1 �21 I O