2006, 02-21 Permit App 06000490 Set MHProject Number: 06000490 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 26 X 52 #44
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Date: 02/21/2006 Page 1 of 2
Contact: BILL MEYER
Address:
C - S - Z:
Phone:
Group Name:
Project Name:
11303 E JACKSON #58
SPOKANE VALLEY , WA 99206
(509) 534-6398
Name: Range
District: Nort
Parcel Number: 45092.9601 Block:
SiteAddress: 11303 E JACKSON AVE #24
Location:: CSV
Zoning: UR-7 Urban Residential-7
Water District:
Area: 8.24 Acres Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot: 42
Owner: Name: BILL MEYER
Address: 11303 E JACKSON #58
SPOKANE VALLEY , WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
PER MANUFACTURERS SPECS
Originally Released:
Landuse/Zoning/HE Conditions
Originally Released:
Permits:
Contractor: OWNER
Released By:
02/17/2006 By: jimain
Released By:
02/17/2006 By: cjjanssen
Manufactured Home
Firm: OWNER
Phone: (000) 000-0000
Item Description Units Unit Desc
INSPECTION FEE 2 # SECTIONS
Operator: jmm Printed By: jom
Permit Total Fees:
Print Date:
Fee Amount
$100.00
$100.00
02/21/2006
Project Number: 06000490
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Inv: 1
Payment Summary:
Permit Type Fee Amount Invoice Amount
Manufactured Home
$100.00 $100.00
$100.00 $100.00
Amount Paid
$0.00
Amount Owing
$100.00
$0.00 $100.00
Date: 02/21/2006 Page 2 of 2
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: jom
Print Date: 02/21/2006
J
Project Number: 06000490 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/16/2006 Page 1 of 2
Project Information:
Permit Use: SET MANUFACTURED HOME 26 X 52 Contact: BILL 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 Information:
Project Name:
Plat Key: Name: Range
District: Nort
Parcel Number: 45092.9601 Block:
SiteAddress: 11303 E JACKSON AVE #24
Location:: CSV
Lot: 42
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
INSPECTION FEE
Units Unit Desc
2 # SECTIONS
Fee Amount
$100.00
Permit Total Fees: $100.00
Operator: jmm Printed By: jmm Print Date: 2/16/2006
Project Number: 06000490
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Inv: 1
Payment Summary:
Permit Type Fee Amount Invoice Amount
Manufactured Home $100.00 $100.00
$100.00 $100.00
Date: 2/16/2006 Page 2 of 2
Amount Paid Amount Owing
$0.00 $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: jmm Printed By: jnun
Print Date: 2/16/2006
Spokane
.0.10Valley
Community Development
Permit Center [E l5 C FE 11 WJ F [71
11707 E Sprague Ave Suiife1D6
Spokane Valley, WA 99206 cp B i 6 2006 �
(509)688-0036 FAX: (50 f8� 00 / �11
www.spokanevalley.org
Manufactured Home
Permit Application
JDLDiDV�
OTHER
PERMIT NUMBER: 0-(C) I
PERMIT FEE: /'60—
SITE ADDRESS: // 30 3 T
ASSESSORS PARCEL NO:
7 ,4C K so A/ z/ /
LEGAL DESCRIPTION:
Building Owner:
Name:
Q1Lt. IW�Y
Address:
// 3 0.3 E.:-.,
T CK Sd A/ - ! y
City:
5A0604 N-
State: u►t} Zip: c
Phone-
-99/ -/ 2 i2_
Fax:
5v- 535i 6'/66
Contact Person
Name: / l L
Phone: 5 O ' - (9 ( — / Z / 2-
Describe the scope of work in detail:
Contractor:
Name:, _-m/ ff--
Address:
City:
State:
Zip:
Phone:
Fax:
Contractor Lic No:
Exp Date:
City Business Lic. No:
/11 /,Vu p
MANUFACTURED HOME
Width:
Length:
Year: 27b,
Pit Set: /to
Septic('
Manufacture:
Previous Address:
Proposed Use:
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 6/232005
jif Check
❑ Mastercard
Expires:
Date
❑ VISA
VIN#:
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