2014, 03-20 Permit App: FAS-2014-0003 MH• Community Development Department
Cn Permit Center
Snc"yokane 11703 East Sprague Avenue, Suite B-3
r Spokane Valley, WA 99206
Valley Tel:(509) 688-0036
� Fax: (509) 688-0037
permitcenter spokanevallev.orq
(Ftaff Use Only)
Pf etiltleNUMBER: , O/ Ow3
PERMIT P4 CEIVE 1
MAR 2 0 2014 lw
MANUFACTURED HOME PERMIT APPL/CsigMT CFNTFR
OTHER
SITE ADDRESS: �� /6'/ L ,' (-
SUB # 1 REV. #
ASSESSORS PARCEL NO.: 9j q,, e> 7 ( LEGAL DESCRIPTION:
BUILDING OWNER NAME:.�
NAME: 5/ii2Ly? SJ /
ADDRESS: ! 3 /�.‹,,E••!4 /5 O' -5
CITY: S.oO/.4&.,t.' (4 STATE: Adil ZIP: 99.Z'
PHONE: Ss 9 - �7.00 / FAX: CELL: ge5-aj
CONTACT NAME: 1/� -i
PHONE: _3Cj5-76 FAX:
CELL:
CONTRACTOR NAME: -JtGq tj4 .Z./Y1,7-)/.4g-
MAILING
Z./Y1, 0? 'A
MAILING ADDRESS: 7 04)c,k--/ !% Q
CITY:
5;;;e) STATE: ZIP: 9 TzLY /
PHONE: s(3/ s--1; 7CI /
CONTRACTOR LICENSE NO.:-.09/Li e% •gf9 EXPIRES: CITY BUSINESS LICENSE NO.:
FAX:
CELL: _c0/ V14"-- 5-41‘
DESCRIBE THE SCOPE OF WORK IN DETAIL AND INDICATE USE:
,�' Io i i . S�-rc�i� ✓3� � r� ,71'od %�� i) / a•Ae, cx�
MANUFACTURED HOME WIDTH: �Z ,' / /0 `'
MANUFACTURED HOME LENGTH: 17/4/
YEAR OF MANUFACTURED HOME: / 9 4
PIT SET: /UO SEPTIC/SEWER:Z‘e•-•.,
MANUFACTURER:G��
PREVIOUS ADDRESS: E , (g7 Z/ ecriv,C
PROPOSED USE: ,/)GJ.�/A1Q
DISCLAIMER JJ
The permitted verifies, acknowledges and agrees by their signature that: 1) if this permit is for construction 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) The 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 a. proved before this application can be processed.
Signature
Date: .20 '61
Updated 1-11-11 Page 1 of 1
http://www.spokanevalley.org/filestorage/124/938/210/948/1496/Manufactured_Home_Permit_1-11-11.doc
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Gv£5T 02-0ealy
Project #
RECEIVED
MAR 2 0 5_2
CSV PERMIT CENTER
SUB #
REV. #
11
pi`
.1
PLANNING DEPT. APPROVED
BYjtiu�
DATE ) Ot 1 1
MINIMUM RESIDENTIAL SITE PLAN REQUIREMENTS
Community Development Department
Permit Center
❑ 3 Sets of the site plan ,
❑ S % 111 sheet of paper (minfrizu id)
❑ North Arrow
❑ Site Address and/or parcel number
❑ Abutting Street Names
❑ Actual Property Configuration
❑ Property Dimensions and Property Corners
❑ Property Square Footage
(www.spokanecounry.orp/assessorJ
❑ All bordering Utility and Access easements
❑ Location of proposed/existing utility service
entrances (water, sewer, power)
❑ Location of proposed/existing potable water well
❑ Actual Structural Footprint for proposed and existing
structures with dimensions and square footage also identified
❑ Proposed and existing building setbacks
❑ Distances (in feet) between existing and proposed primary
and accessory structures
❑ Location of existing and/or proposed driveways and
driveway approaches
❑ Location of septic tank and drain field, if any.
100 feet
•
SAMPLE SITE PLAN
5 5
Proposed
Accessory
Structure
4— 40
20'
30'
Easement
37'
} 4--- 25 -is-
Proposed
►Proposed
Addition/Garage
30'
1
Iso Ret
11 Septic, Tank&Drain
Field (efappllcable)
t-
Pavcd
20' D 316it6
approach 15'
t
5'
65 —� f
Proposed Residence
20'
1
t
1 20' .R Sewer / .
f10' Utility E- asement
Wa
4— 20 —�
Street Name
CD -002, V-1/06-16-11
Address: 1234 E. Street Nam
Parcel #: 45111.1234
Lot 1 of Spokane Valley Plat
Lot Size: 15,000 sqft
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