2006, 04-12 Permit App 06001285 Set MHProject Number: 06001285 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 27 x 61 Contact: WHLLIAM D MEYER
Address: 11303 E JACKSON #58
C - S - Z: SPOKANE VALLEY, WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509) 534-6398
Group Name:
Project Name:
Site Information:
Plat Key:
Name: Range
Date: 4/12/2006 Page 1 of 2
District: Nort
Parcel Number: 45092.9601 Block:
SiteAddress: 11303 E JACKSON #51 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: El
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/HE Conditions
Permits:
Released By:
Originally Released: 4/11/2006 By: CJJANSSE
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: 06001285
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes: .._
Payment Summary:..:,-
Permit Type
Manufactured Home
Inv: 1
Fee Amount Invoice Amount
$100.00 $100.00
$100.00 $100.00
Amount Paid
$0.00
Amount Owing
$100.00
$0.00 $100.00
Date: 4/12/2006 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: AMB Printed By: AMB
Print Date: 4/12/2006
Project Number: 06001285 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 27 x 61
Setbacks: Front
Site Information:
Plat Key:
Date: 4/11/2006 Page 1 of 1
Left: Right: Rear:
Contact: WILLIAM D MEYER
Address: 11303 E JACKSON #58
C - S - Z: SPOKANE VALLEY, WA 99206
Phone: (509) 534-6398
Group Name:
Project Name:
Name: Range
District: Nort
Parcel Number: 45092.9601 Block:
SiteAddress: 11303 E JACKSON #51 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/HE, 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
P�
o�kane 11707 E Sprague Ave, Suite`
4000*� Talie Spokane Valley, WA (509)9920�
V 1 (509)688-0036 FAX: (509)68
Community Development ww w.spokanevalley.org
Manufactured Home
Permit Application
ECIEME
037 APR 1 1 2006
WAD
OTHER
SITE ADDRESS:
3 C
J74-CKSod
5`l
ASSESSORS PARCEL NO: '-12 ) `r a , ct'(oD I LEGAL DESCRIPTION:
Building Owner: 4,td, i wr 4 ✓44.. (14 �1_,,6-
Name: ex)/LLi Alec D. rM& !_
Address: // 3 0 3 C 7-i4-G42, S del/ S-/
City: .5-to State: (.k 4 Zip: 5,20 6
Phone: (5) ,S-� `=i,- c 39 f Fax:(/`71,r)5_..4[ .
Contact Person S> - ii
Name:
Phone: C E L L F /2
Describe the scope of work in detail:
A- c G
Contractor: SA A/c -
Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Contractor Lic No:
Exp Date:
City Business Lic. No:
�5 T /0,VNuFigcTuR�-�
w/ 771
MANUFACTURED HOME
Width: 2
Length: �+
Year: .2 6_6_c
Pit Set: Aro
Septic/Sewer: tlt
Manufacture: CHAMP' Oki
Previous Address: Aibet
Proposed Use: ,h pe-xr-T7A — Si / 4 LE «g-2
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 8/23/2005
Check
/14
❑ Mastercard
Expires:
Date
❑ VISA
VIN#:
5(1/0 5 p A c c
L 7-
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