2006, 04-12 Permit App: 06001279 MH Project Number: 06001279 Inv: 1 Application Date: 4/12/2006 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
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Permit Use: 1005 manufactured home Contact: MILLER,JAMES
Address: 6619 E 7TH AVE
C-S-Z: SPOKANE,WA 99212
Setbacks:Front Left: Right: Rear: Phone: (509)-535-5356' 9 9'S • fi 7
Group Name:
Site Information: Project Name:
a'.samCN.re,d;,'w,kN �rv`w'p!i�'ia'd''�.Saraa
Plat Key: 000081 Name: APPLE WAY HEIGHTS District: E
Parcel Number: 35242.2546 Block: Lot:
SiteAddress: 6619 E 7TH AVE Owner:Name: MILLER,JAMES
Address: 6619 E 7TH AVE
Location::CSV SPOKANE,WA 99212
Zoning: UNK
Water District: Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: _ k
Review
Building Plan Review
a '
in ,
Originally Released: 4/12/2006 By: amblake
Landuse/Zoning/HE Conditions -
Originally Released: 4/11/2006 By: CJJANSSE
Permits:
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: AMB Printed By: AMB Print Date: 4/12/2006
Project Number: 06001279 Inv: 1 Application Date: 4/12/2006 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes ,rs�....
CONTOL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS
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: AMB Printed By: AMB Print Date: 4/12/2006
ti�� runt. Permit Center
[E ��� l 11 �'/ ii
0� 11707 E Sprague Ave, u 106 Del PERMIT NUMBER: 102"19
Spokane Valley,WA 2 ' O PERMIT FEE:
(509)688-0036 FAX: 688-M � �
2 ,
Community Development www.spokanevalley.o
Manufactured Home
Permit Application OTHER
SITE ADDRESS: dv&, q E
ASSESSORS PARCEL NO: 3$2 i 2 , 9 5'15 LEGAL DESCRIPTION: ,4iO/144.. I/tc 5 4�r s.TI 40d S%cFt r.Q
SDfIMvvt�t
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Building Owner: Contractor: . ,� 2 o
Name: e5 L. 1!, l'tdt f$ ti#o f-/✓t Lt a Name:
Address: 7 /0 2 5�, Address:
City: .9City: elnka PI t' .ti fey State: to Zip:Mit_ City: State: Zip:
Phone: I Fax: Phone: Fax:
6-e2 g-97
Contractor Lic No: Exp Date:
Contact Person City Business Lic.No:
Name�'j�rw�s ),itlki
Phone: 5'07 - q 4 `ex 19 7
Describe the scope of work in detail:
MANUFACTURED HOME
Width: Lengths_6 t Year: s, Pit Set: Septic/Sewer:
Manufacture: /e,T
Previous Address: 7/a 3i21, e
Proposed Use: Re-5.c%,,1 e e
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 do7"12) Date
Meth Payment:
❑ Cash 0 Check 0 Mastercard 0 VISA
Bankcard#: Expires: VIN#:
Authorized Signature:
REVISED 8/23/2005
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