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2006, 02-16 Permit App 06000491 Set MHProject Number: 06000491 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SET MANUFACTURE HOME-26 X 52 Setbacks: Front Site Information: Plat Key: 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: Name: Range District: Nort Parcel Number: 45092.9601 Block: SiteAddress: 11303 E JACKSON AVE #45 Location:: CSV Zoning: UR-7 Water District: Urban Residential-7 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 Landuse/Zoning/IE Conditions Permits: Released By: Manufactured Home Contractor: OWNER Firm: OWNER P /z z ((� ()iv' Phone: (000) 000-0000 (i, 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: 06000491 Notes: Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Inv: 1 Payment Summary: Permit Type Manufactured Home Fee Amount Invoice Amount $100.00 $100.00 $100.00 $100.00 Amount Paid Amount Owing. $0.00 $100.00 $0.00 $100.00 Date: 2/16/2006 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: jmm Print Date: 2/16/2006 Sg `� ane .Valley Community Development Permit Center 11707 E Sprague Ave, Suite ld Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www.sookanevallev.org Manufactured Home Permit Application D E C.E W E FEB 1 6 2006 OTHER 14RMIT NUMBER V Y 9 RMIT FEE: /00 SITE ADDRESS: fi 30 E ASSESSORS PARCEL NO: LEGAL DESCRIPTION: Building Owner: Name: gl LL'. dUl EyE7K Address: `/ 3. 0.3 C.. � Ic/ "/ L< S:, �--p� J - City: 5AOKAA NE State: um Zip: .zeg Phone: 5z21, —,,/ _/2 / Fax: 5-01 e7 a Y6'r Contact Person Name: 9ZLL l/yI6-2/& L Phone: --- I - 9 / -- / 2- / 2- . Describe the scope of work in detail: Contractor:: Name:, ...cmi%- Address: City: State: Zip: Phone: Fax: Contractor Lic No: Exp Date: City Business Lic. No: MANUFACTURED HOME Width: ,26 Length: �� o Year: 0© Pit Set: A40 SeptiSewer: 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 812312005 jg Check ❑ Mastercard Expires: Date ❑ VISA VIN#: /j acp A3AOaddr '1d30 ONINNVId PL- 0 J 7 , 6P:r15; /t. clb _ • O F:AIRACRES 451,25" 1_ r1• c _ n -O SE LANE • `•••. _,,\ a �' - -..ate._o ..... - •ct .o - T PARK - 0 00 `- - - 1 l r ♦ 3- �A\e*,4V !• ` \` . ▪ \ • 1 �� GRAPHIC SCLLL (K r • • 1 1..6 .• M R rirtz _�rr L[ •' - AREHOE SUN VAL • wO-Jf-Ml �^ JAIXSOli AF4�JE • • Site Plan