2006, 04-12 Permit App 06001284 Set MHProject Number: 06001284 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SET MANFUACTURED HOME 27 x 52
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Name: Range
Date: 4/12/2006 Page 1 of 2
Contact: WILLIAM D MEYER
Address: 11303 E JACKSON #58
C - S - Z: SPOKANE VALLEY, WA 99206
Phone: (509) 534-6398
Group Name:
Project Name:
District: Nort
Parcel Number: 45092.9601 Block:
SiteAddress: 11303 E JACKSON #46 RD
Location:: CSV
Zoning: UR-7
Water District:
Urban Residential-7
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/HF Conditions
Released By:
Permits:
Originally Released: 4/11/2006 By: amblake
Contractor: OWNER
Item Description
INSPECTION FEE
Manufactured Home
Firm: OWNER
Phone: (000) 000-0000
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: 06001284 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes: ,,„,„,,,
Payment Summary: ;..
Permit Type
Manufactured Home
Fee Amount
$100.00
Invoice Amount
$100.00
Date: 4/12/2006 Page 2 of 2
Amount Paid Amount Owing
$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: 06001284 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SET MANFUACTURED HOME 27 x 52
Setbacks: Front
Site Information:
Plat Key:
Date: 4/11/2006 Page 1 of 1
Left: Right: Rear:
Name: Range
Contact: WILLIAM D MEYER
Address: 11303 E JACKSON #58
C - S - Z: SPOKANE VALLEY, WA 99206
Phone: (509) 534-6398
Group Name:
Project Name:
District: Nort
Parcel Number: 45092.9601 Block:
SiteAddress: 11303 E JACKSON #46 RD
Location:: CSV
Zoning: UR-7 Urban Residential-7
Water District:
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/Hh, Conditions
Permits:
Released By:
Contractor: OWNER
Notes:
Manufactured Home
Firm: OWNER
Phone: (000) 000-0000
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
Permit Center
Sgoliane
11707 E Sprague Ave, Suite 10
`
.aossi
Spokane Valley, WA 99206
ValleY (509)688-0036 FAX: (509)688-
Community Development www•spokanevallev.org
Manufactured Home
Permit Application
. APR 1 2006
UOLDIIN
OTHER
SITE ADDRESS: // 'O 3
3-1-1- gSoiil
ASSESSORS PARCEL NO: `(S b '.2 , 9 O( LEGAL DESC
Building Owner: , iLL...1 )404, D , &•-},eix
Name: G(J / L L l t? vvt
22). ; ! L-�E-7
Address: / / 3 O 3 c
j7-Aq-G i,', 5 0�l/ -&SSA
City: Sp
State: 0, Zip:ei 5%2 d 6
Phone: (5Z7$) 5-5 `z,- 60 39 f Fax: / 5.3(._6.4
Contact Person S. vlc=
Name:
Phone: C LG F97 /.t /2
Contractor: S/q Kim
Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Contractor Lic No:
Exp Date:
City Business Lic. No:
Describe the scope of work in detail:
SG- / /V/9 Na F,q CTcz / &-1:> Wi TH
A C c: i= SS v7e/E S
MANUFACTURED HOME
Width:
.27
Length: y8
Year: _26 d6,
Pit Set: / jc
Septic/Sewer: P6'
Manufacture: �DZ3>eiC,q j E s 7--
Previous Address: , /jet
Proposed Use: g - jp r- L / s (Ai-
ems//1/fL
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 )4 Check
Bankcard #:
Authorized Signature: -----___.—
REVISED B/232005
D Mastercard
Expires:
Date
❑ VISA
VIN#:
„co Al lq5E
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7
1
PLANNING DEPT. APPROVED
BY
DATE: