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2006, 04-12 Permit App 06001282 Set MHProject Number: 06001282 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/12/2006 Page 1 of 2 Project Information: = r Permit Use: SET MANUFACTURED HOME 26 x 52 Contact: WILLIAM D MEYER Address: 11303 E JACKSON #58 C - S - Z: SPOKANE VALLEY, WA 99206 Setbacks: Front Left: Right: Rear: Phone: (509) 534-6398 Group Name: Project Name: Site Information: Plat Key: Name: Range District: Nort Parcel Number: 45092.9601 Block: Lot: SiteAddress: 11303 E JACKSON #16 RD Owner: Name: WILLIAM D MEYER Address: 11303 E JACKSON #58 Location:: CSV SPOKANE VALLEY, WA 99206 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 Landuse/Zoning/HE Conditions Released By: Originally Released: 4/11/2006 By: CJJANSSE Perm its: Manufactured Home Contractor: OWNER Firm: OWNER Phone: (000) 000-0000 Item Description INSPECTION FEE Units Unit Desc 2 # SECTIONS Fee Amount $100.00 Permit Total Fees: $100.00 Operator: AMB Printed By: AMB Print Date: 4/12/2006 Project Number: 06001282 Inv: 1 Notes: Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/12/2006 Page 2 of 2 Payment Summary: Permit Type Manufactured Home Fee Amount Invoice Amount Amount Paid Amount Owing $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: AMB Printed By: AMB Print Date: 4/12/2006 Project Number: 06001282 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/11/2006 Page 1 of 1 Project Information: Permit Use: SET MANUFACTURED HOME 26 x 52 Contact: WILLIAM D MEYER Address: 11303 E JACKSON #58 C - S - Z: SPOKANE VALLEY, WA 99206 Setbacks: Front Left: Right: Rear: Phone: (509) 534-6398 Group Name: Site Itt formation: Project Name: 41111111116 Plat Key: Name: Range Parcel Number: 45092.9601 Block: SiteAddress: 11303 E JACKSON #16 RD Location:: CSV Zoning: UR-7 Urban Residential-7 Water District: District: Nort Lot: Owner: Name: WILLIAM D MEYER Address: 11303 E JACKSON #58 SPOKANE VALLEY, WA 99206 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 Landuse/Zoning/HE Conditions Permits: Manufactured Home Firm: OWNER Phone: (000) 000-0000 Contractor: OWNER Notes: Payment Summary: 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: AMB Printed By: AMB Print Date: 4/11/2006 SpPermit Centerg okane 11707 E Sprague Ave, St>;i 6 kv Spokane Valley, WA 9920 Valley (509)688-0036 FAX: (509)688-0033pR 1 1 2006 Community Development www-spokanevalley.org 1-)Manufactured Hom e D WI[t ©1IN Permit Application OTHER SITE ADDRESS: /I cT14CKs/6 ASSESSORS PARCEL NO:LEGAL DESC Building Owner: W (LLI J4 ✓AC CAL--7‹ Name: ec) /L L 1 fi i'VI _D . rM -- I` Address: / / 5 D 3 c T/4 s c ," 5T, City: _c/o State: IA a Zip:q q..20 6, Phone:(,- 9) 5 3 `-7- ai >, 7 Fax: /-/)9)3 3(/.-6a4(w Contact Person c4-iv/c= Name: Phone: C PERMIT NUMBER: / $� PERMIT FEE: Contractor: SA /v1 C Name: Address: City: State: Zip: Phone: Fax: Contractor Lic No: Exp Date: City Business Lic. No: Describe the scope of work in detail: SGFT / AIA aFAcTuK f-Kd."U/c. 771 C"L I ' /E f MANUFACTURED HOME Width: , Length: Year: Manufacture: 060 c'ZU w- } 7— Previous Address: ,l//1 Proposed Use: A Pit Set: NO /v C.E 4-fiti Septic/Sewer: 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 Method of Payment: El Cash Bankcard #: Authorized Signature -- REVISED 8f23/2005 j4 Check /6,33 ❑ Mastercard Expires: Date ❑ VISA VIN#: So4 p4AcE- 0 151 4. , 31 0 We'72Tht. e/Ew.e.-ie ot,f'4