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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 ••••••.^... • •Areasimma.-- • .4:041/4/frif-a) Ake k/(---47---). 11' / spilet t/ Ler it/re p 2 r NNING DEPT. APPROVED _IAAAKQ,fiLD ATE: (II `21-1 CY-7- 1, ° c LL. 1011101.1111.k MONTG LN GRACE AVE MAXWELL INDIANA VALLEY AMMO& PARK I:4 8 0 c, xw au .at as ORA STA C.4 Ira Se MAXWELL 27 E- 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#: • csof 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#: