2010, 03-29 Permit App 10000833 MHProject Number: 10000833 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SET 14 X 701974 LAMPLIGHTER - SPACE #3
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Name: Range
Date: 3/29/2010 Page 1 of 2
Contact: HALL, DANA H
Address: 9901 E 24TH AVE
C - S - Z: SPOKANE, WA 99206-3347
Phone: (509) 924-2728
Group Name:
Project Name:
District: East
Parcel Number: 55184.6001
Block:
SiteAddress: 18518 E COWLEY AVE #3
Location:: CSV
Lot:
Owner: Name: HALL, DANA H
Address: 9901 E 24TH AVE
SPOKANE, WA 99206-3347
Zoning: CMU Corridor Mixed Use Dist
Water District: 134 CONSOLIDATED ID #19 Hold: ❑
Area: 47,618 Sq Ft
Nbr of Bldgs: 0
Review Information:
Width: 0
Nbr of Dwellings: 1
Depth: 0 Right Of Way (ft): 0
Review
Septic Sys Review
Released By:
Landuse/Zoning/HE Conditions
Permits:
Released By:
3frT/ib
Manufactured Home
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Item Description Units Unit Desc Fee Amount
SETTING PERMIT 1 # SECTIONS $50.00
Permit Total Fees: $50.00
Operator: jmm Printed By: jmm
Print Date: 3/29/2010
Project Number: 10000833 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary:
Permit Type
Manufactured Home
Fee Amount Invoice Amount
$50.00
$50.00
Amount Paid
$0.00
Date: 3/29/2010 Page 2 of 2
Amount Owing
$50.00
$50.00 $50.00 $0.00 $50.00
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: jmm Printed By: jmm Print Date: 3/29/2010
Mar 2E- 10 01:47p WHOLESALE MOTORE
1-509-535-6998
P2
PERMIT NUMBER:
PERMIT FIE:
CITY OF SPOKANE VALLEY
Community Development Department
Permit Center
11703 East Sprague Avenue, Suite 5-3
Spokane Valley, WA 99206
Tel: (509) 688-0036
Fax: (509) 688-0037
pgrmitYnir spok neval1 +.prg
MANUFACTURED HOME PERMIT`APPLIC-ATION
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(Staff Use Only)
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SITE ADDRESS:18518 E COWLEY # 3 GREE�IACRES WA 99016 1 ',U'- , G j •
ASSESSORS PARCEL NO.:99-02217 LEGAL DESCRIPTION:JOHNSONS MOBILE
HOME PARK # 3 MOBILE HOME ON LEASED LAND _
BUILDING OWNER NAME:DANA HALL
nAmr:DANA HALL
ADDREss:9901 E 24TH
Crr SPOKANE VALLEY
zIP:99206
PHONE:509-533-2700 FAx:509932-0541 ceLL:509 994-2711
CONTACT mm4E:DANA HALL
1
STATE:WA
P1+1oNE:509-533-2700 Fax:509-532-0541 O:509-994-2711
CONTRACTOR NAME:
MAILING ADARESS:
Cm:
STATE:
PHONE:
c NTRACTOR LYGeNSE No.:
FAX: CEuL=
,ZIP:
EXPIRES: CITY HuSXNESS LICENSE NO.:
DESCRIBE THE SCOPE OF WORK IN DETAIL AND XNDICATE USE:
SETTING OF A MOBILE HOME
MANUFACTURED HOME WIDTH:14
MANUFACTURED HOME LENGTH:70
Effective October 28, 2007 Pave 1 of 3
http://www.spokanevalley.org/uploads/Community_Oevelopmenopotuments/Forms/Suilding/Manufdctured Home Permit
App-i.doc
Mar 25. 10 01:48p
WHOLESALE MOTORE
1-509S8 p.4
MANUFACTURER:__
PREVIOUS ADDRESS:
PROPOSED USE:RENTAL
The�ttedd vends, acknardedges and agrees by theirsign>a/feta d)tads bennitis Car mrnnaalan won a dwelling, the dwelling Is/wai
be served by potable water. 2) Ownership orttds CRy of Spokane vane:y permit Surety the property'. owner. 3) The signatory is the Pr'oPefty
owner or has permlalon to represent the property owner In thistransaction. 4) All construction is to be done In full compliance Tito tore City of
Spokane Valley Development code. Referenced codes are available far review at the my of Spokane vasty Permit Canter. 5) The flty of
Spokane valley permit b not a permit or approval for any violation of federal, state et ioral laws, codes or ordinances. 6) Ptariss or additional
Information may be required to be submitted and subsequently approved entreat application can be Processed.
Signature
Method of payment: C Cash ❑ Check ❑ Visa 0 MasterCard
Bankcard #: EXP: VAV#t
Authorized Signature:
Effective October 28, 2007 Page 3 Of 3
hoop://wwwspokanevalley.Org/uploads/Community_Dk....A.pn.,.nt/Documents/Forms/Bunding/Planufactured Home Permit
Ppp.l.doc
Mar 26 10 10:41a WHOLESALE MOTORE 1-509-535-6998 P-1
YEAR OF MANUFACTURED MOME:71\/
PIT SET: J SUC1SEWER:
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I 51
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Effective October 28, 2007 Pagc 2 of 3
http://www.spokanevalley.org/uploads/Cornmunity_Oevelopment/Occuments/Forms/Building/Manufactured Home Permit
App.l.doc