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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