2005, 10-07 Permit App 05003673 MHProject Number: 05003673 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information: -
Permit Use: MANUFACTURED HOME SET
Date: 10/07/2005 Page 1 of 2
Setbacks: Front 12 Left: 12 Right: 14 Rear: 28
Site Information:
Plat Key:
Contact: RICHARD MASON
Address: 15918 E CAMERON CT
C - S - Z: VERADALE, WA 99037
Phone: (509) 953-3923
Group Name:
Project Name:
Name: MISSION MEADOWS MHP MFG HOME PK 123 UNITS
District: East
Parcel Number: 55083.9601 Block:
SiteAddress: 19306 E COLYAR LN
Location:: CSV
Lot:
Owner: Name: RUSSEL ELLER
Address: 19306 E COLYAR LN
SPOKANE VALLEY, WA 99037
Zoning: UR-7 Urban Residential-7
Water District: Hold: ❑
Area: 0 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
Released By:
TO M HARNOISE 10/7/5
Sewer Review
Permits:
C� -39a�
- -io//moo
Contractor: OWNER
Manufactured Home
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: CJJ Printed By: CJJ Print Date: 10/07/2005
Project Number: 05003673 • Inv: 1
Notes: ....
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/07/2005 Page 2 of 2
ALL PERMIT APPLICATIONS IN MISSION MEADOWS MEP MUST HAVE PLANNING
DIVISION REVIEW BY MICKI HARNOIS OR GREG MCCORRMICK
Payment Summary: r.
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: 10/07/2005
n �� Permit Center
6 LS / 22 n U
S n
Ukane 11707 E Sprague Ave, Su
4.0,0Valley
Spokane Valley, WA 992
(509)688-0036 FAX: (509)68, 0037
Community Development wRw.spokanevallev.org.cs
Manufactured Home
Permit Application
PERMIT NUMBER: ( 693
PERMIT FEE:
SITE ADDRESS / 3,0 2 61 4 (— 4 P
ASSESSORS PARCEL NO: 5�6F$3 , 76o /
LEGAL DESCRIPTION:
Building owner
//
Name: h2u �Y El/et,
Address:
City: Zip:
Phone: 9z 7 -9937 Fax:
Contact Person
Name: ' 'Ig.2"covl
Phone: 953- 392
Describe the scope of work in detail: %
,f% _r7/j4; . 94-6 AWLe
5/1 /,4%/v < z L C
Contractor
��jj
Name: S 0,t / jih2 � lhk-
Address: 4 96 "( 5/ g2a,
City: Sd/ Zip: Z/U
Phone: 5357/ic%_ Fax: 53 242 S-
Lic No: Exp. Date:
City Business Lic No:
MANUFACTURED HOME
Width: 7 7 '---O
Manufacture:
Length:
Year: ZGD S'
Pit Set: )res
Previous Address:
Proposed Use:
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.
Signature
Date l e`6/ 2c
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash ❑ Check ❑ Mastercard ❑ VISA
Bankcard #: Expires: VIN#:
❑ Other
Authorized Signature:
REVISED 8/23/2005
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