2006, 05-12 Permit App 06001619 MHProject Number: 06001619 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 27 x 52 GOLDENWEST
Setbacks: Front
Site Information:
Plat Key:
Date: 05/12/2006 Page 1 of 2
Left: Right: Rear:
Contact: MEYER, WIT LIAM
Address: 11303 E JACKSON #58
C - S - Z: SPOKANE VALLEY, WA 99206
Phone: (509) 991-1212
Group Name:
Project Name:
Name: Range
District: Nort
Parcel Number: 45092.9601 Block:
SiteAddress: 11303 E JACKSON RD #52
Location:: CSV
Zoning: UR-7 Urban Residential-7
Water District:
Lot:
Owner: Name- MEYER, WILLIAM
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:
ALIZEISESP-
Review
Building Plan Review
Released By:
PER MANUFACTURED HOME SPECS
Originally Released: 04/28/2006 By: amblake
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Permits:
Originally Released: 05/11/2006 By: Mhamois
Released By:
Per Billy @ County Utilities
Originally Released: 05/12/2006 By: mturbak
Operator: AMB Printed By: MT Print Date: 05/12/2006
Project Number: 06001619 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Contractor: OWNER
Item Description
INSPECTION FEE
Notes:
Manufactured Home
Date: 05/12/2006 Page 2 of 2
Firm: OWNER
Phone: (000) 000-0000
Units Unit Desc
2 # SECTIONS
Fee Amount
$100.00
Permit Total Fees: $100.00
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: AMR Printed By: MT Print Date: 05/12/2006
Project Number: 06001619 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Date: 4/28/2006 Page 1 of 2
Permit Use: 27 x 52 GOLDENWEST Contact: MEYER, WILLIAM
Address: 11303 E JACKSON #58
C - S - Z: SPOKANE VALLEY, WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509) 991-1212
Group Name:
Site Information: Project Name:
Plat Key: Name: Range
District: Nort
Parcel Number: 45092.9601
Block: Lot:
SiteAddress: 11303 E JACKSON RD #52
Location:: CSV
Owner: Name: MEYER, WILLIAM
Address: 11303 E JACKSON #58
SPOKANE VALLEY, WA 99206
Zoning: UR-7 Urban Residential-7
Water District: 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
Building Plan Review
Released By:
PER MANUFACTURED HOME SPECS
Originally Released: 4/28/2006 By: amblake
Landuse/Zoning/HE Conditions
Released By: ]`—��ffp_
Sewer Review
Released By:
Permits:
Contractor: OWNER
Manufactured Home
Firm: OWNER
Phone: (000) 000-0000
ic;EIVED
APR 2 d 2006
SPOKANE VALLEY
DEPARTMENT OF
COMMUNITY DEVELOPMENT
Operator: AMB Printed By: AMB Print Date: 4/28/2006
Project Number: 06001619 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/28/2006 Page 2 of 2
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: 4/28/2006
Permit Center
SpOF
okane
11707 E Sprague Ave, Suitt 106
�.�\7alle Spokane Valley, WA 99206
Y (509)688-0036 FAX: (509)6
Community Development www.spokanevallev.orz.com
APR 2 6 2006
Manufactured Home
Permit Application
SITE ADDRESS
Cc<sa'' 7 4.5.2s a Ale M/ ',( ?2206'
ASSESSORS PARCEL NO: q %! o l LEGAL DESCRIPTION:
Building owner
Name: /JlLL./e4 44 44EY t=7Z
Address: `/ Z 0 3 C cif( B S c (I .'
City: 51*` i /kViiLL/-/EY Zip: "04 99-2--0-6
J :.0 Phone: iy-6 32 Fax: l .1'` & V46
/. .7/ --/z / 2-
Contact Person
Name: / 1 L LAY L�
Phone: C2-& Sri9'?9/
Describe the scope of work in detail:
Contractor
Name:
fd..frbt_e----
Address:
City:
Zip:
Phone:
Fax:
Lic No:
Exp. Date:
City Business Lic No:
MANUFACTURED HOME
Width: Length: C2
Manufacture: 6 o zags w G 5
Previous Address:
Proposed Use: s!/P/
DISCLAIMER
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: (Faxed permit applications will only be accepted with major bankcard
0 Cash ' Check ❑ Mastercard ❑ Other
Bankcard #: Expires: VIN#:
//
Year: .2 07J f
Pit Set: N0
Date —2 to
Authorized Signature:
REVISED 823/2005
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