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2006, 02-16 Permit App 06000489 Set MH
Project Number: 06000489 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SET MANUFACTURED HOME-23 X 52 Setbacks: Front Site Information: Date: 2/16/2006 Page 1 of 2 Contact: BILL MEYER Address: 11303 E JACKSON #58 C - S - Z: SPOKANE VALLEY , WA 99206 Left: Right: Rear: Phone: (509) 534-6398 Group Name: Project Name: Plat Key: Name: Range District: Nort Parcel Number: 45092.9601 Block: Lot: 42 SiteAddress: 11303 E JACKSON AVE #24 Location:: CSV Owner: Name: BILL MEYER Address: 11303 E JACKSON #58 SPOKANE VALLEY , WA 99206 Zoning: UR-7 Urban Residential-7 Water District: Hold: ❑ Area: 8.24 Acres 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: Permits: Manufactured Home Contractor: OWNER Firm: OWNER Phone: (000) 000-0000 Item Description Units Unit Desc INSPECTION FEE 2 # SECTIONS Fee Amount $100.00 Permit Total Fees: $100.00 2 Jt Operator: jmm Printed By: jmm Print Date: 2/16/2006 Project dumber: 06 000489 Inv: 1 Notes: Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 2/16/2006 Page 2 of 2 Payment Summary: 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: jinni Printed By: jmm Print Date: 2/16/2006 SFor1ane .Valley Community Development Permit Center 11707 E Sprague Ave, Suite 1 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688- www.spokanevallev.org Manufactured Home Permit Application D ECEOVE FEB 16 2006 PERMIT NUMBER: QL Ig Lam; —PERMIT FEE: /OD UoLD0h0 �sJ OTHER SITE ADDRESS: %% 30 3 -The c KS ON ASSESSORS PARCEL NO: LEGAL DESCRIPTION: Building Owner: Name: g, i Li_ 44 EYE7 Address: `I 0.3 �, T .:5e,„,J 4r3-27 City: 5lO K A Ale- State: um Zip: 9 , Phone: -99/ —/12 i 2._ Fax: 57`l fie% 6 `/66 Contact Person Name: [gel_ /476—r� f'` Phone: 5-0 q - j 9 / — / Z / Describe the scope of work in detail: Contractor: Name•.c_ S-47 - Address: City: State: Zip: Phone: Fax: Contractor Lic No: Exp Date: City Business Lic. No: MANUFACTURED HOME Width: ,23 y Manufacture: Previous Address: Proposed Use: Length: Year: ,Z U©6 Pit Set: A,/D Sept'c/ ewer: J 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 ❑ Cash Bankcard #: Authorized Signature: REVISED B/2312005 X Check Date ❑ Mastercard ❑ VISA Expires: VIN#: 4 L 5' 1,0 .2 3 pod t1\4/691v F Nr ePert PLANNING DEPT. APPROVED BY: C DATE' / 7 /0-1D i Gor 2q 4 F: A I A A C A E L _ 1 1 `�, IyMJ0212 A�OYJ[ .. �` I101 Is -'` 1) ON I3 I{ 17 I! •• .y•• 1' n t( LANE ' �,: •••�.._....... O 1 0 AHLIAE SUN YAL O ACRE! o I• f o . o .cap: ?• ... o. @Z.a . Y • Site Plan PARK , I� Si 1 � � • •� --{ . O 1 0 AHLIAE SUN YAL O ACRE! o I• f o . o .cap: ?• ... o. @Z.a . Y • Site Plan