1007, 06-13 Permit App: 07002172 MFH Project Number: 07002172 Inv: 1 Application Date: 6/13/2007 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 1999 28 X 60 PALM HARBOR HOME Contact: ANDERSON,KIM L&JOHN D
Address: 2203 HIGHLAND DR
C-S-Z: CAMANO ISLAND,WA 98282
Setbacks:Front 25 Left: 14 Right: 8 Rear: 65 Phone: (206)235-5889
Group Name:
Site In formation: Project Name:
�„'�z `x"-,'»-.n.=s"4�;,x ,.. ,,ft'-f:S.d;f.. `a#'.' +: .i .�< .'.�a,. ,.;'n:,wofi'Ra� 4NHYA^Yarv.w^�,=,�[. .-<. Zw Yk"' .':::'; .• ";'�v".&sa'se. daS'.
Plat Key: Name: WOODLAWN PARK District: Sout
Parcel Number: 35244.0832 Block: Lot:
SiteAddress: 7307 E 10TH DR Owner:Name: ANDERSON,KIM L&JOHN D
Address: 2203 HIGHLAND DR
Location::CSV CAMANO ISLAND,WA 98282
Zoning: UR-3.5 Urban Residential 3.5
Water District: 020 EAST SPOKANE Hold: ❑
Area: 7,000 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: � � ,
Review
Landuse/Zoning/HE Conditions Released By: ..
Originally Released: 6/11/2007 By: tschmidt
Sewer Review Released lir-
Building Permit
Contractor: ESE CONSTRUCTION Firm: ESE CONSTRUCTION
Address: 7189 F&S GRADE RD Phone: (360)856-5865
SEDRO WOOLLY,WA 98284
Item Description Units Unit Desc Fee Amount
WSBC SURCHARGE 1 SELECT $4.50
Permit Total Fees: $4.50
Operator: JD Printed By: JD Print Date: 6/13/2007
Project Number: 07002172 Inv: 1 Application Date: 6/13/2007 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Manufactured Home
Contractor: ESE CONSTRUCTION Firm: ESE CONSTRUCTION
Address: 7189 F&S GRADE RD Phone: (360)856-5865
SEDRO WOOLLY,WA 98284
Item Description Units Unit Desc Fee Amount
INSPECTION FEE 2 #SECTIONS $100.00
Permit Total Fees: $100.00
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $4.50 $4.50 $0.00 $4.50
Manufactured Home $100.00 $100.00 $0.00 $100.00
$104.50 $104.50 $0.00 $104.50
Disclaimer:
Submittal of this application certifies the owner(or person(s)authorized by the owner)has both examined and finds the information
contained within to be true and correct,and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for,or an approval of,any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: JD Printed By: JD Print Date: 6/13/2007
Project Number: 07002172 Inv: 1 Application Date: 6/7/2007 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 1999 28 X 60 PALM HARBOR HOME/ Contact: ANDERSON,KIM L&JOHN D
FOUNDATION Address: 2203 HIGHLAND DR
C-S-Z: CAMANO ISLAND,WA 98282
Setbacks: Front 25 Left: 14 Right: 8 Rear: 65 Phone: (206)235-5889
Group Name:
Site Information: Project Name:
Plat Key: Name: WOODLAWN PARK District: Sout
Parcel Number: 35244.0832 Block: Lot:
SiteAddress: 0 E .UNKNOWN DR Owner:Name: ANDERSON,KIM L&JOHN D
Address: 2203 HIGHLAND DR
Location::CSV CAMANO ISLAND,WA 98282
Zoning: UR-3.5 Urban Residential 3.5
Water District: 020 EAST SPOKANE Hold: ❑
Area: 7,000 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review
Building Plan Review Released By:
Driveway/Approach Released By:
Landuse/Zoning/HE ConditionsReleased By:" ~``= '/11 a
Sewer Review Released By:
Permits: ,_ , - w. .f _..m,. - m t: . 1.m
Operator: JD Printed By: JD Print Date: 6/7/2007
• Permit Center
SCITY OfPERMIT NUMBER: "
pokane 11703E Sprague Ave, Slte$-3
A' Spokane Valley,WA 99,206 JUN QL _ PERMIT FEE:
jValle (509)688-0036 FAX: (5b;9)¢88-0037 � e 20'17 \
y
www.spokanevalley.orgj
Community Development _
i
Manufactured Home
Permit Application (OTHER
SITE ADDRESS:
ASSESSORS PARCEL NO: 35" H( /a-3?LEGAL DESCRIPTION: eit,1OO40L:41.0,4/ plc L.T'/(.e '3(-/.
Building Owner: � Contractor: COe: U/t 4),40 ii /14/1 ��/'1he $OKI Name: -7O/V� cco /A) / ecs& C,. tli�T.
Address: Z2-4:/-:
/ S!`�L�NZig/�f v'6 Address: /l l f q1 9MM L 41,
City:� �ti,J �S�Ati6 State: Gt/i_ Zip: qG L City: c� � c.em///tate:1� . Zip��
Phone: 2_26 yv Fax:3‘0,0 3 _7 O266 G Phon c 5260 is Fax /1jc 1,3�S
G Co tractor Lic No: Exp Date: 7
Ln I ASF Cv/-c 00/x•9 /2/0/2-00
Contact Person City Business Lic.No:
I l
Name: /3 'Vt /9,1,0 k&)AJ
Phone: (v Z3 Sid
41
Describe the scope of work in detail:/40Ll l< C 67.1r 17` S C s - cam,96 S
/N S If,,il fiehrt E
MANUFACTURED HOME
Width: z ' Length: Lae, Year: l9� Pit Set: Septic/ ew
Manufacture: /0/ '1 -j�4g
Previous Address: 32,03 2 7zi P/ Cc Ro 'G , 4/ e-y_e(
z.
Proposed Use: ALeyn
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 ,—Date G%S / 7
Method of Payment:
❑ Cash ❑ Check 0 Mastercard ❑ VISA
Bankcard#: Expires: VIN#:
Authorized Signature:
REVISED 8/23/2005
k5244.0832
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ANDERSON
2203 Highland Drive
Camano Island,Washington
98282
September 3,2007
City of Spokane Valley
Attn: Building and Planning Department
Please change the permit for installation of a Manufactured home at 7307 E. 10th.
Permit# /� '-7C6-).-2-t 7 2----
The names of the owners of the Manufactured home are William and Sharon Dekker. The home is a 28 x 56,
1993 Silvercrest Fleetwood and will be moved from 15293 Oak Drive,Renton,WA 98058.
Thank you,
KKim Anderson
206.235.5889
6ttSE JFs ti T( � ��/7'� j 674Pe �,
✓H(1l / t 4 j-")/i e/',t/7-S
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