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2010, 08-18 Permit App 10002522 MH
Project Number: 10002522 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: 2010 FLEETWOOD 12 X 60 MANUFACTURED HOME - SEPTIC Setbacks: Front Site Information: Plat Key: Left: Right: Rear: Name: Range Date: 8/18/2010 Page 1 of 2 Contact: PINECROFT MOBILE HOME PARK Address: 11920 E MANSFIELD SP#32 C - S - Z: SPOKANE VALLEY WA 99206 Phone: (509) 389-5337 Group Name: Project Name: SP#32 District: Nort Parcel Number: 45094.6001 Block: Lot: SiteAddress: 11920 E MANSFIELD AVE #03 Owner: Name: PARRELL-SISTERS MHC LLC Address: 1700 ADAMS AVE # 212 Location:: CSV COSTA MESA, CA 92626 Zoning: MF-2 MF HDR District Water District: 026 IRVIN Hold: ❑ Area: 652,750 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review Information: Review Septic Sys Review Released By: Originally Released: 8/18/2010 By: LHALSEY Landuse/Zoning/HE Conditions Permits: Released By: Originally Released: 8/17/2010 By: tschmidt Manufactured Horne Contractor: BUD'S & DOUG'S MH SVC LLC Firm: BUD'S & DOUG'S MH SERVICE L Address: 17906 E COWLEY AVE Phone: (509) 926-3626 GREENACRES, WA 99016 Item Description SETTING PERMIT Units Unit Desc 1 # SECTIONS Fee Amount $50.00 Permit Total Fees: $50.00 Operator: jmm Printed By: jmm Print Date: 8/18/2010 Project Number: 10002522 Inv: I Notes: Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary: , ;...70,7 �1 Permit Type Manufactured Home Date: 8/18/2010 Page 2 of 2 Fee Amount Invoice Amount Amount Paid Amount Owing $50.00 $50.00 $0.00 $50.00 $50.00 $50.00 $0.00 $50.00 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: jmm Print Date: 8/18/2010 ull Permit Center 1 S�I' okare00010\011703 E Sprague Ave, Suite B-3' IC 1�Spokane Valley, WA 99206 d- TER jValley (509)688-0036 FAX: (509)688-0037� w .spokanevallev.org Community Development pro ect Manufactured Home; f,,ane Permit Application ;S,lbmittal k I PERMIT NUMBER: PERMIT FEE: SITE ADDRESS: ifq 2 ° ld o ASSESSORS PARCEL NO: 7 9, 004 LEGAL DESCRIPTION: Building Owner: ,y� Name: p//1 eGcO{t A/e /-vl,c p, r k Address: jl '� Q -Il an 5./ei. / S/7.QGr 3� JI CityS,v/�ci /1 e UK //G' I State:w,ij Zip.gq Phone: J5--Oi-3;y - - 53 7/ Fax: 5'0 ei _ 9 cu. _ d#5 Contact Person Name: Gd t 6 l fe Phone: 5 ©q-3 f y- 5-33 7 Describe the scope of work in detail: Contractor: Name: Address: g City: State: Zip: Phone:) pit _ y / 36� e Fax: Contractor Lic No: Exp Date: City Business Lic. No: w Home_ MANUFACTURED HOME Width: la Length: 6 Manufacture: c.etr,Upp Previous Address: Proposed Use: Year: n/ O Pit Set: Se tic)Sewer: 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 processe Signature Method of Payment: ❑ Cash Bankcard #: Authorized Signature: REVISED 8/23/2005 ❑ Check ❑ Mastercard Expires: Date ��% •7 �G'�G' ❑ VISA VIN#: cet Project # ane bM:T'll ------- )21Z (i RECEIVED CSV PERMIT CENTER ; AUG 1 7 2010 2-S-2--e- i i \\\ et— Peoite PLANNING DEPT. APPROVED i DATE: RFCRVFn CSV PERMIT CENTFP AUG i 7 20t0 Project # 7_c23— Name Submitta! # Sc I Ot 4S\ \ k , Pewee •V' PLANNING DEPT. APPROVED BY:i DATE: g/Qt/c>