2008, 05-07 Permit App 08001461 MHProject Number: 08001461 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 28 X 52 2008 GOLDENWEST/ALBENY Contact: CLAYTON HOMES
Address: 15906 E SPRAGUE AVE
C - S - Z: SPOKANE VALLEY, WA 99037
Phone: (509) 891-9996
Group Name:
Site Information: Project Name:
Plat Key: CONV Name: ange
Setbacks: Front 67 Left: 27 Right: 32 Rear:
Date: 5/7/2008 Page 1 of 2
District: East
Parcel Number: 55064.0306 Block:
SiteAddress: 18305 E COURTLAND AVE
Location:: CSV
Zoning: RMH
Water District:
Area: 14,140 Sq Ft
Nbr of Bldgs: 0
Review Information:
Lot:
Owner: Name: VINGO TRUST, ALBERT
Address: 2017 E UPRIVER DR
SPOKANE, WA 99207
Hold: ❑
Width: 100 Depth: 125 Right Of Way (ft): 0
Nbr of Dwellings: 10
Review
Driveway/Approach
Released By:
Originally Released:
Septic Sys Review
5/7/2008 By: JLMain
Released By:
Originally Released: 4/21/2008 By: LHALSEY
Landuse/Zoning/IlE Conditions
Permits:
Released By:
Foundation as per Tom Melboum.
Originally Released: 4/25/2008 By: TSCHMWT
Operator: JD Printed By: jmm Print Date: 5/7/2008
Project Number: 08001461 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Manufactured Home
Date: 5/7/2008 Page 2 of 2
Contractor: CLAYTON HOMES Firm: CLAYTON HOMES
Address: 15906 E SPRAGUE Phone: (509) 891-9996
SPOKANE VALLEY WA 99037
Item Description Units Unit Desc
INSPEU1ION FEE 2 # SECTIONS
Notes: -
Same location. 2 bedrooms only for septic system.
Permit Total Fees:
Fee Amount
$100.00
PaymentSummarp: a7„44w..s.
Permit Type Fee Amount Invoice Amount Amount Paid
Manufactured Home $100.00 $100.00 $0.00
$100.00
Amount Owing
$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: JD Printed By: jmm
Print Date: 5/7/2008
Spokane
�Va11ey�
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev.org
Manufactured Home
Permit Application
OTHER
PERMIT NUMBER: I t.k(c`
PERMIT FEE:
RECEIVED BY
CITY OF SPOKANE VALLEY
u ? _ 2006
SITE ADDRESS: �i J f ' Ozt.l RYL17'J1
ASSESSORS PARCEL NO:
LEGAL DESCRIPTION:
Building Owner:
Name: k IA'
V Lt,IPIM nZ SPNaRf} (SGHR)T'i'PK
Address: ^ 0 $ t LLA (2. T L t4ti�
City: S P OK Aa1 U A1L1-a;y State: Vj a, Zip:
0l L
Phone: °I 1-6 - �� Fax:
Contact Person
Name: 1
Phone: -7 61 s
Describe the scope of work in detail:
tFiiVll 1
N1 th
BY: �J
Contractor:
Name: CJL-F}uTD,I tjDim e
Address: I SAD b . S FRA. 1,
City: S (-'olu 5 vYlLLe4 State: tAyZip: 9 e 2) -)
Phone: ;,'1 1 — cictell., Fax: qq 1— O-_L-I
Contractor Lic No: Exp Date: I 1
�.MHHOy,'1,"wfc. I�131o�j
City Business Lic. No:
1,, <�I.64 O .i
f9.14 FACTIA NDM<iftL,er lO*.) c ) bLR"f 1-100V-f -ro fx,;Tr06- ur11...I1-IES
MANUFACTURED HOME
Width:
Length: c,
Manufacture: uo Lbw in0GST
Previous Address:
Proposed Use: R. 06 7 1 Al_
Ai-6147,N
Year: 3-008
Pit Set: NO
Ex)5 TiiJG
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 applica i can be processed.
Signature
Method of Payment:
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 8/23/2005
❑ Check
Date
❑ Mastercard ❑ VISA
Expires: VIN#:
0-1
N
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Swtobafl
1 s 3o5 E. Cou RT L►9-nJb
99014
PLANNING DEPT. APPROVED
BY.�
DATE• `/��5/$6
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