2007, 10-15 Permit App 07003716 MHProject Number: 07003716 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 14 X 66 1977 GOVERNOR
Setbacks: Front 15 Left: 15 Right: 9.5 Rear: 13
Site Information:
•
Contact: RON D PALM
Address: 7116 E FAIRVIEW
C - S - Z: SPOKANE VALLEY, WA 99212
Phone: (509) 242-8735
Group Name:
Project Name:
Plat Key: MH004 Name: PINECROFT MOBILE HOME PARK District: Nort
Parcel Number: 45094.6001 Block:
SiteAddress: 11920 E MANSFIELD AVE
PALI
Location:: CSV
Zoning: UR-22
Urban Residential-22
Water District: 010 VERA
Area: 652,750 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Lot:
Owner: Name: PARRELL-SISTERS MHC LLC
Address: 1700 ADAMS AVE # 212
COSTA MESA, CA 92626
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Date: 10/15/2007 Page 1 of 2
Review Information:
Review
Other Reviews
Released By:
Septic Sys Review
Originally Released: 10/15/2007 By: JLMain
Released By:
OK PER SPOK HEALTH DEPT
Originally Released: 10/15/2007 By: JLMain
Landuse/Zoning/HE Conditions
Released By:
Originally Released: 9/24/2007 By: cjjanssen
Permits:
Operator: JD Printed By: jam Print Date: 10/15/2007
Project Number: 07003716 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Manufactured Home
Date: 10/15/2007 Page 2 of 2
Contractor: BUD'S & DOUG'S MH SVC LLC Finn: BUD'S & DOUG'S MH SERVICE L
Address: 17906 E COWLEY AVE Phone: (509) 926-3626
GREENACRES, WA 99016
Item Description Units Unit Desc Fee Amount
INSPECTION FEE 1 # SECTIONS $50.00
Notes:
Payment Summary:
Permit Type
Manufactured Home
Permit Total Fees: $50.00
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: JD Printed By: jnun Print Date: 10/15/2007
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Permit Center
iii1 tea,, � 11703 E Sprague Ave, Suite B-3
1�LliG Spokane Valley, WA 99206
let's (509)688-0036 FAX: (509)688-0037
www. spokanevalley.org
Community Development
Manufactured Home
Permit Application
OTHER
PERMIT NUMBER: 37 )
PERMIT FEE:
SITE ADDRESS: //924.> / /V`J"-r11;1-4),. J wi ifir �i+Ya1; # 9e206
ASSESSORS PARCEL NO:
LEGAL DESCRIPTION:
Building Owner:
TT
Name: %2,..A / U ;i7%%97
Address: 7/(6 ),7l v/ f-w /4Y
City: gam/ 14. y State: WA Zipi
j
Phone:grsl4.Z8735 Fax:�C�J �`.�9/f
%
Contact Person
Name: -%f C/A/ 2i Z %
Phone: 509 f2 B 7 35
Describe the scope of work in detail:
Contracto (W `� 0 6ti„.3
Name: ew J�ici-Zrn
r
Address:
City: State:
Zip:
Phone: Fax:
Contractor Lic No: Exp Date:
City Business Lic. No:
/165/44- # Z(/ �,1e.,24}fir
Ave) z2P/t/A/Y-- -1,e).40,Q/zarrri/b-e2ae-
MANUFACTURED HOME
Width:
f4/ ,'"
Length:
ev •
Year:
"77
Pit Set:
Septic./Sewer: 14
anutacture:
Previous Address: 4/3 0 7 S Owe/
Proposed Use:
6"- /7c4_c're S Iv q9 )/
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a dwelling, the
dwelling ishvill 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
❑ Mastercard
Expires:
Date p 7
❑ VISA
VIN#:
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41,7`alleY*
Community Development
Permit Center
11703 E Sprague Ave, Suite B-3
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevalley.org
Manufactured Home
Permit Application
OTHER
PERMIT NUMBER:
PERMIT FEE:
SITE ADDRESS: /19,20 /72W,F 42,. J c�iy44W v iI/ iyAr 942.0 ,
ASSESSORS PARCEL NO:
LEGAL DESCRIPTION:
Building Owner:
Name: ;:F" j% Z) /?l /.%2
Address: 7/7L AF i lhevib-w 4
City: gPsei . f /`, y State: w Zipw21�
J/
Phone:'�/ .2 8735 Fax:5_0 etz,/33I
Contact Person
Name: .: L,f/ 2 7//9
Phone: 509 ,� j,/„� 735
Describe the scope of work in detail:
Contractor1.,LA `4 k)(; Lt.('
Name: G9,/i / 0 Prime/ i
Address:
City: State:
Zip:
Phone: Fax:
Contractor Lic No: Exp Date:
City Business Lic. No:
SST /9108/L� T-�/ f�.tlFG,2c)P7'
MANUFACTURED HOME
Width: /4
Manufacture:
Length: 44`
er've o le
Previous Address: 7 ,,/3 r S n ctc , e z5
Proposed Use:
Year: ;77
Pit Set:
Septic/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 processed.
Signature
Method of Payment
❑ Cash
Bankcard #:
Authorized Signature:
REVISED 8/23/2005
❑ Check
Date e Ci 7
❑ Mastercard ❑ VISA
Expires: VIN#: