2006, 04-28 Permit App 06001616 MHProject Number: 06001616 ' Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Date: 4/28/2006 Page 1 of 2
Permit Use: 27 x 48, 2006 MANUFACTURED HOME, GOLDEN Contact: MEYER, WILLIAM
WEST Address: 11303 E JACKSON
C - S - Z: SPOKANE VALLEY, WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509) 534-6398
Group Name:
Site Information: Project Name:
Plat Key: Name: Range
Parcel Number: 45092.9601 Block:
SiteAddress: 11303 E JACKSON DR #22
Location:: CSV
Zoning: UR-7
Water District:
Area: 0 Sq Ft
Urban Residential-7
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Lot:
District: Nort
Owner: Name: MEYER, WILLIAM
Address: 11303 E JACKSON
SPOKANE VALLEY, WA 99206
PER MANUFACTURES' REGULATIONS
Hold: 111
Depth: 0 Right Of Way (ft): 0
I Released By:
Originally Released: 4/28/2006 By: ambl
Landuse/Zoning/HE Conditions
Sewer Review
[Released B
[Released By:
secs ` I l z tp i oeo t4-v\ - % 6L l2f .Y r LWA t t c 51 a ( C
Permits.
Manufactured Home
Contractor: OWNER Firm: OWNER
Phone: (000) 000-0000
Operator: AMB Printed By: AMB
Print Date: 4/28/2006
Project Number: 06001616 Ifiv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
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.
Date: 4/28/2006 Page 2 of 2
Signature:
Operator: AMB Printed By: AMB
Print Date: 4/28/2006
_ Permit -Center -
Spokane 11707 E Sprague Ave, Suitei06
.0,00 Valley Spokane Valley, WA 9920.-1 j rp p - II V
.7 (509)688-0036 FAX: (509 {:=:i00'7 �% "
Community Development www.spokanevalley.org.co n
APR 2 6 2006
idLDONI2
Manufactured Home
Permit Application
D)
PERMIT NUMBER: I{,e%'
PERMIT FEE:
SITE ADDRESS
//3 D 3 TJ4-ckso# m cc ev Coat SP2 t6
ASSESSORS PARCEL NO: 1-51) Cl a Yabi LEGAL DESCRIPTION:
Building owner
Name: W1tLt4At i1EJ )(
Address: if.,?6, E j -C-KSdAJ
CitY: $ J{'i(IE VALLEV G014- ZiP: 9 9.zo 6
Phone: xpci 5`f 6vf Fax: S,5y (y va
Contact Person
Name: ct.s GL(/'D7i-e, / EYE i
Phone: 5 2 ! "79/-% 2 /._ ce
Contractor
Name: Sp�ryl2_e__
Address:
City:
Zip:
Phone:
Fax:
Lic No:
Exp. Date:
City Business Lic No:
Describe the scope of work in detail:
S (AA.] F cr//a/WE- AsRcKEs c7C
MANUFACTURED HOME
Width: 2 '7 Length: 4y'
Manufacture: &¢ L p kJ fT
Previous Address: /�l`i4
Year: 02 ee6
Pit Set: .ilD
Proposed Use: S<t&L E ' 4 4i
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
Method of Payment: (Faxed permit applications will only be accepted with major bankcard)
❑ Cash X Check ❑ Mastercard r
Bankcard #: Expires: VIN#:
❑ Other
Authorized Signature:
REVISED 823/2005