2007, 10-05 Permit App 07003893 Move HomeProject Number: 07003893 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: MOVE HOME FROM 4204 S SUNDERLAND-
26X36 2006 LIBERTY
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: 000000 Name: Range
Date: 10/5/2007 Page 1 of 2
Contact: NEAL, TERRY
Address: 9707 E BROADWAY
C - S - Z: SPOKANE VALLEY WA 99206
Phone: (509) 954-8308
Group Name:
Project Name:
District: Nort
Parcel Number: 45172.1410 Block:
SiteAddress: 9707 E BROADWAY AVE
Location:: CSV
Zoning: UR-3.5 Urban Residential 3.5
Water District: 011 MODERN
Area: 41,153 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: COOK, ALTON D & ESTHER E
Address: 9723 E BROADWAY AVE
SPOKANE VALLEY, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Building Plan Review
Released By:
Originally Released: 10/5/2007 By: jdavis
Landuse/Zoning/HE Conditions
Permits:
Contractor: OWNER
Item Description
INSPECTION FEE
Released By:
Originally Released: 10/4/2007 By: tschmidt
Manufactured (tome
Firm: OWNER
Phone:
Units Unit Desc
2 # SECTIONS
(000) 000-0000
Fee Amount
$100.00
Permit Total Fees: $100.00
Operator: jmm Printed By: JD Print Date: 10/5/2007
Project Number: 07003893 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary:
Permit Type
Manufactured Home
to+.a;S..;r
Date: 10/5/2007 Page 2 of 2
Fee Amount Invoice Amount Amount Paid Amount Owing
$o.00 $100.00
$100.00 $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: jmm Printed By: JD
Print Date: 10/5/2007
Permit Center BY —� �3
11703 E Sprague Ave, Suite B-3 RECOF SP0034EiVED ki-� PERMIT NUMBER:
liilll Spokane Valley, WA 99206 C�PERMIT FEE:
..;00*WjeY' (509)688-0036 FAX:(509)688-0037oCj Q 1 Itt'
www.sookanevalley.ore
Community Development PERMtT CEPI'iER
Manufactured Home
Permit
SITE ADDRESS: g 70 I 'E'
Stip 41A-4&
ASSESSORS PARCEL NO: q!S-l7,A -)y le LEGAL DESCRIPTION:
Building Owner:
Name:
,, A ,.
Address: ,
evo 1-4 1lmfievtme"f5
City: , 4AV'.4 v�tl�
State: Zip:
Phone: ,ytK3 _qS H 30g
Fax:
I Contact Person I
Phone:
r
Contractor: VA{tdL)
Name:
,, A ,.
Address:
evo 1-4 1lmfievtme"f5
City:
State: Zip:
Phone:
Fax:
Contractor Lic No:
Exp Date:
City Business Lic. No:
Describe the scope of work in detail: MCVQ /1obfle from %wit 5, Syei r/Ir nd ltriC
MANUFACTURED HOME
Width: t Length: 3� Year: Pit Set: Septic/ ewer:
Manufacture: G 16erly
Previous Address: / 964S St ne/e, #ru(e 6,70 kAme- t4L Ile y
/1 i
Proposed Use: Rest" nri-t/
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.
d.
Signature v Date
Method of Payment:
❑ Cash ❑ Check
Bankcard #:
Authorized Signature:
REVISED 8/232005
Mastercard ❑ VISA
Expires: I/,Aj jl VIN#:
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OCT 11 2007
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