2005, 10-25 Permit App: 05004007 MH Project Niimber: 05004007 Inv: 1 Application Date: 10/25/2005 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: MANUFACTURED HOME SET Contact: WOLFE,BETTY M
Address: PO BOX 413
C-S-Z: GREENACRES,WA 99016
Setbacks: Front 30 Left: 29 Right: 28 Rear: Phone: (509)921-5848
Group Name:
Site Information: Project Name:
Plat Key: Name: APPLE VALLEY EST District: East
Parcel Number: 55192.1007 Block: 3 Lot: 7
SiteAddress: 17205 E 3RD AVE Owner:Name: WOLFE,BETTY M
Address: PO BOX 413
Location::CSV GREENACRES,WA 99016
Zoning: UR-7 Urban Residential-7
Water District: Hold:
Area: 10,250 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Site Plan Review Released By:
Originally Released: 10/25/2005 By: CJJANSSE
Plan Review Released By: .„
N/A-PER MANUFACTURES SPECS
Originally Released: 10/25/2005 By: CJJANSSE
Septic System Review Released By:
FAXED TO LANCE 10/25/05
Permits:
Manufactured Home
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Operator: CJJ Printed By: CJJ Print Date: 10/25/2005
Project Number: 05004007 Inv: 1 Application Date: 11/07/2005 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: MANUFACTURED HOME SET Contact: WOLFE,BETTY M
Address: PO BOX 413
C-S-Z: GREENACRES,WA 99016
Setbacks:Front 30 Left: 29 Right: 28 Rear: Phone: (509)921-5848
Group Name:
Site Information Project Name:
Plat Key: Name: APPLE VALLEY EST District: East
Parcel Number: 55192.1007 Block: 3 Lot: 7
SiteAddress: 17205 E 3RD AVE Owner:Name: WOLFE,BETTY M
Address: PO BOX 413
Location::CSV GREENACRES,WA 99016
Zoning: UR-7 Urban Residential-7
Water District: Hold: ❑
Area: 10,250 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: .w ;: w. w Review
Site
Site Plan Review Released By:
Originally Released: 10/25/2005 By: CJJANSSE
Plan Review Released By'
N/A-PER MANUFACTURES SPECS
Originally Released: 10/25/2005 By: CJJANSSE
Septic System Review Released By:
PER LANCE @ COUNTY HEALTH
Originally Released: 11/07/2005 By: CJJANSSE
Permits: ...:: ems—._ _..:., .p,:- -_... 2.7...O . '. riW::4M,=,,:- u_,-- . .N . :..
Operator: CJJ Printed By: CJJ Print Date: 11/07/2005
11/07/2805 11: 52 569324".567 RHD EHS PAGE 61
-- e-w� 1 'J�.J �R TO 32415E7 P.21/02
Project Number: 4S004007 Inv: 1
Application Date: lnrzs/coos Page t of 2
TILTS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
.ibrJ. j./Azt_ n'
Permit Use: MANUFACTURED HOME SETEery r ria:n.s;s'•,s-�ukrt�arora
Contact: WOLFE,BETTY M
Address: PO BOX 413
Setbacks:F}onc 30C-S-Z GREENACRES,WA 99016
Left: 29 Right: 28 Rear: Phone: (509)921848
Group Name:
SUorm4t o r; r.o�rnay . nr i > -... Project Name:
Plat Key: Name: APPLE VALLEY EST
District: East
Parcel Number: 55192.1007 Block:•3 .. Lot: 7 —
Site Address: 17205 E 3RD AVE • Owner:Name: WOLFE,BETTY M
Address: PO 110X 4130 .
Location::CSV GREENACRES, WA 99016
Zoning: UR-7 Urban Residential-7 ®/l�
Water Di,strict: f j/)y
Area: 10,250 Sq Ft -�.....______-- - -,
.-(//! ---- ---* --- --
Hold: EJ
Mr of Bldgs: 0 l bt Of Way(ft): 0
dq, vjew_�'rr rrnationz .. 7 c9
aim )- :/ WY�e,.unift
Review
(1) ,(1/1 ,\,i
Site Plan Review ,i1�, '' .•.,„: _y 1 t, fp ----
Originally Released: 10/25/2005 By: CJJANSSE -_• -
Plan Review
F :1:' , /�t�1Wilri dly :n l'!L},r*It'`''1 ,.l
N/A-PER MANUFACTURES SPECS
_.
Originally Released: 10/25/2005 By: CJJrtNSSE
Septic SystemRcvie�r ' _
- d - /22i77-7 5- _____=7„ /Y,/,r<c- --.Z. kP __/, .. /?2(/*Z 4--
FAXED TO LANCE 10/25/05 ---5: /; Z•e-,` ---r--X.'2-'t) / /
----. ...—. ..—_ �•�"%.ttM__Aw��1�'lar..L11�c1frY.alt7Gu,xw�raanry.� 11�a�[wlr•a�'Yaeti�y�r.� .w�� rwr■Lzaur.rnawr�
Manutfactured Home — — •
Cantracrer: OWNER
.--
Firm: OWNER
Phone: (000)000-0000
Operator: CSJ Printed Ey: CJJ
Print Date: 10/23/2005
NOU 07 2025 12 05 5093241567 PAGE.01
Project Number: 05004007 Inv: 1 Application Date: 10/25/2005 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes: K4
See plat file for TURTLE CREEK SOUTH 2ND for special drainage requirements
Payment Summary: _ . = d4124VOW MIVW .,. .�: �.vArer- . :: Iy...
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: CJJ Printed By: CJJ Print Date: 10/25/2005
Project Number: 05004007 Inv: 1 Application Date: 11/07/2005 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Manufactured Home
Contractor: OWNER Firm: OWNER
Phone: (000)000-0000
Notes: TIM*. T- m ..= wt. t NZ, -Mar .; .. , .._allffitlf0,
See plat file for TURTLE CREEK SOUTH 2ND for special drainage requirements
Payment Summary: ._ re fticomarin . : _ ...Amalomelatmear
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: CJJ Printed By: CJJ Print Date: 11/07/2005
,'A Permit Center .t' �- = ,.
S"Thane 11707E Sprague Ave,Suite 10 ® ® t ''` :. ,
WA 99206 � e '� ��
Spokane Valley, 4 —
.,..Valley (509)688-0036 FAX:(509)688 0 E 11 �� i = v � .t -
4- - -
Community Development www.spokanevalley.org.com j)
153
Manufactured Home
Permit Application U il 1 LO ll (N �,
SITE ADDRESS Irl 20 5 E '3 ti2
ASSESSORS PARCEL NO:55 192 a i V D '7 LEGAL DESCRIPTION:
Building owner Contractor
Name: t✓ m Lt) 0,,,....t 1, Name:
Address: \A 2_,.,0 E 3Address:
Q
City:�,o p '/i- I a v Zip: c 4 Di t• City: Zip:
Phone:
qIc),.k- 5 g Lt 0 Fax: Phone: Fax:
Lic No: Exp.Date:
Contact Person: City Business Lic No:
Name:
Phone:
Describe the scope of work in detail: C
EA-6 d-cl
V_.em3ve se* NUJ h O me
MANUFACTURED HOME
Width: 4.4- Length: (a 0 Year: q 1 9 Pit Set:
Manufacture: g i-A-A N)b t`m a k - .- SS'.- K04-
Previous Address:
Proposed Use: r i v'Ai t. [!-Se_ Mo(NI t
DISCLAIMER
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. ,,Q�
Signature 1?.. _kt \Y1AA) ti'�-'".� Date i ° " 2-4" 0 c10 0 S
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
0 Cash ll Check ❑ Mastercard 0 VISA 0 Other
Bankcard#: /Expires: VIN#:
Authorized Signature: Q
% 1 P
REVISED 8123/2005
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