2005, 09-14 Permit App: 05003356 MHProject Number: 05003356 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/14/2005 Page 1 of 2
Project Information:
Permit Use: MANUFACTURED HOME SET Contact: MALINAK, GERALD L & KATHERINE
Address: 4519 N ELLA RD
C - S - Z: SPOKANE VALLEY, WA 99212
Setbacks: Front 46 Left: 59 Right: 25 Rear: 62 Phone: (509) 922-8789
Group Name:
Site Information: Project Name:
Plat Key: Name: CENTRAL PARK ADD District: Sant
Parcel Number: 35242.2423 Block:
SiteAddress: 6210 E 7TH AVE
Location:: CSV
Zoning: UR -7 Urban Residential -7
Water District: 100 SPO CO WATER DIST7l3A Hold: ❑
Lot:
Owner: Name: MALINAK, GERALD L & KATHER
Address: 4519 N ELLA RD
SPOKANE VALLEY, WA 99212
Area: 24,750 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
Plan Review
Orjginally Released: 09/14/2005 By: cjjanssen
Approach / Drainage
Originally Released: 09/13/2005 By: TMELBOU
Released Hy
Originally Released: 09/14/2005 By: cjjanssen
Operator: CJJ Printed By: CJJ Print Date: 09/14/2005
Project Number: 05003356 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 09/14/2005 Page 2 of 2
Sewer Review
Released By:
PER BILLY @ COUNTY UTILITIES: PLANS FOR EXTENSION OF SEWER LINE ARE SUBMITTED
AND IT IS OK TO RELEASE SETTING PERMIT
Originally Released: 09/14/2005 09: cjjanssen
Permits.
Manufactured Home
Contractor: OWNER Finn: OWNER
Phone: (000) 000-0000
Item Description
INSPECTION FEE
Units Unit Desc
2 SECTIONS
Fee Amount
$100.00
Permit Total Fees: $100.00
Notes:
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 $100.00
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: CJJ Printed By: CJJ Print Date: 09/14/2005
p�r
Permit Center
okane 11707 E Sprague Ave, Suite 106
'S [jam \\Y\
Spokane Valley, WA 99206°-u��eY (509)688-0036 FAX: (509)688-Q03,7, A
Community Development www.spokanevalley.org.com
Manufactured Home
Permit Application
SITE ADDRESS "Z.) V3.€ te-NE'vek ‘
r o
ASSESSORS PARCEL NO: rC V 3 S i t (� ' ,L DESCRIPTION: L L( ST �v (3$ 4 vc ( �0. rk kW,
Building owner
Name: 6PCO Viae K,1 he V ►1Q \, v'cik
Address: kk510, f V , q RC,
p,
City: SP�k.OtWe Zip: ttL !
)
Phone: C)-, % 7e) Fax: 5 0,4 tM 1.0
Contact Person
Name: 61 e `<'0.\ \111)A k 6116 ---
Phone:
Describe the scope of work in detail: f
Contractor
Name:
ek
ettrrA
Address:
City:
Zip:
Phone:
Fax:
Lic No: Exp. Date:
City Business Lic No:
MANUFACTURED HOME
Width: alp' g `I Length: (piptt
Manufacture: C� k.kctUy V c& 'e \O vvveS
N,.)Previous Address:
Proposed Use: t 46). h C r
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.
Year: aOo 5 Pit Set: Lir S
Signature
•
Date 9(i./65"
Method of Payment: (Faxed permit applications will only be accepted with ma or nkcard)
D Cash ❑ Check 0 Mastercard VISA
Bankcard #: Expires: VIN#:
0 Other
Authorized Signature:
REVISED 8/23/2005