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2008, 09-02 Permit App: 08003427 MHProject Number: 08003427 Inv: l Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/2/2008 Page 1 of 2 Project Information: Permit Use: SET NEW 2008 CLAYTON HOME 26 X 58 Contact: JA SWIFT Address: 13005 N PITTSBURG C - S - Z: SPOKANE, WA 99208 Setbacks: Front Left: Right: Rear: Phone: (509) 468-5975 Group Name: Site Information: Project Name: Plat Key: Name: WEST FARMS IRRIGATED TRACT # 02 District: Nort Parcel Number: 46344.0716 Block: SiteAddress: 13815 E WELLESLEY AVE Location:: CSV Lot: Owner: Name: CATE, RONALD J & DARLENE R Address: 13815 E WELLESLEY AVE SPOKANE VALLEY, WA 99216_ Zoning: 14-3 SF Res District Water District: 001 TRENTWOOD Hold: 0 Area: 14,272 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Review Landuse/Zoning/fIE Conditions Originally Released: 9/2/2008 By: cjjanssen Permits: Manufactured Home Contractor: J A SWIFT ENTERPRISES Firm: DALE SWIFT/J A SWIFT ENTERP Address: 13005 N PITTSBURG Phone: (509) 468-5975 SPOKANE, WA 99208 Item Description INSPECTION FEE Units Unit Desc 2 # SECTIONS Fee Amount $100.00 Permit Total Fees: $100.00 Operator: jmm Printed By: jnun Print Date: 9/2/2008 Project Number: 08003427 Inv: 1 Application Date: 9/2/2008 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes: SET MANUFACTURED HOME PER MANUFACTURED SPECS 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: jmm Printed By: jmm Print Date: 9/2/2008 Y OFkane jValley. Community Development Permit Center 11703 E Sprague Ave, SuitaTY OF SPOKANE VALLEY Spokane Valley, WA 99206 ecD 0 2 1008 (509)688-0036 FAX: (509)688-000-4 www.spokanevalley.org .. gERMIT CENTER RECEIVED BY Manufactured Home Permit Application OTHER PERMIT NUMBER: `! 3 (-/ PERMIT FEE: SITE ADDRESS: (3 U (5 E R (� s ( J ASSESSORS PARCEL NO: LEGAL DESCRIPTION: Building Owner: Name: RoV1 £ ()a,/ 1`Ci t cc c S Address: 13 /5 E (, J e_ 1 (e / e J City: S (3V I ,e U Q ((-e State: lj q Zip: U, Phone: / Fax: Contact Person Name: bQ (`e- f..) Phone: q39-- i 5015 Describe the scope of work in detail: Contractor:. r Name: ,. J {r1-' • S: j �'— ( 4,,ev iS •f S Address: /3 OoS l3 City: 5,0 (`i a State:co Zip: 7.e/ Phone:l /`6A Fax: JI���JJJ63 4/ Z• 1 Contractor ic NoS�t E p DTate� Ff cf.... � t��w1SeS /_ /U—CIAO City Business Lic. No: iiris(r-t-« VC/44P eruved MANUFACTURED HOME Width: (2618c Length: Se) Manufacture: C (cam Previous Address: Proposed Use: vl l tel Year: Zap g Pit Set: Septic/Sewer: 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 Spoka - Valley Development Code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) i ity of Spokane Valley Permit is nota permit or approval for any violation of federal, state or local laws, codes or ordin--s. 6 I s or additional information may be required to be submitted, and subsequently approved before this applicatio • .e pr Signatur Method of Payment: 0 Cash Bankcard #: Authorized Signature: REVISED 8/23/2005 0 Check ❑ Mastercard Expires: Date 0 VISA VIN#: 0 7 5E' VVicell c4Cluv_ / t4o M `L 66 PLANN NG DEPT. APPROVE;; / BY. DATE q ?108