2006, 08-14 Permit App 06003185 Existing Hm, Need New PermitProject Number: 06003185 Inv: l
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: EXISTING HOME, NEED NEW PERMIT 34 x 40
Date: 8/14/2006 Page 1 of 2
Contact: BREZA, DEBBIE
Address: 7425 E 5TH
C - S - Z: SPOKANE WA 99212
Setbacks: Front Left: Right: Rear: Phone: (509) 927-8238
Group Name:
Site Information: Project Name:
Plat Key: 002144 Name: REMINGTON PARK, AMENDED MAP
District: D
Parcel Number: 35241.3324
SiteAddress: 422 S PARK RD
Block:
Location:: SPO
Zoning: UR-7 Urban Residential-7
Water District: 020 EAST SPOKANE
Lot:
Owner: Name: BREZA, DEBBIE
Address: 7425 E 5TH
SPOKANE WA 99212
Hold: ❑
Area: 0,045.00 Acres Width: 67 Depth: 135 Right Of Way (ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: --
Review
Building Plan Review
Released By:
fY\K -- \' Q,.Uk LA I perrr , 6Y +0
_ I Lst ryx5d. re n23 Purr-Ctk -Gue3
Driveway/Approach
Released By:
Landuse/Zoning/HE Conditions
Released By:
Sewer Review
Permits:
Released By:
Operator: AMB Printed By: AMB Print Date: 8/14/2006
Permit Center
Spokane 11707 E Sprague Ave, Suite 10I S2
C
40000 T 71ey Spokane Valley, WA 99206
V�ll (509)688-0036 FAX: (509)688-003,7
Community Development www.spokanevallev.org D)
D
Manufactured Home
Permit Application
U
06
PERMIT NUMBER: 3) 0s•
h'hRMIT FEE:
OTHER
SITE ADDRESS: i Z Z. P4 4 lC 1 j7
ASSESSORS PARCEL NO:
Building Owner:
Name: G f AO
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Address: 8 ,,,
i i/_ t - % ✓A y'
City: Cpok
State ,1
Zip: e c `/ 2
Phone
Y? gam£f
Fax:
Z i0
Contact Person
Name: Z A,J /S
Phone( 5c ) i Z 6 db
LEGAL DESCRIPTION:
Contractor:
Name:
,
Address: A , /
4
City:
State:
Zip:
Phone:
Fax:
Contractor Lic No:
Exp Date:
City Business Lic. No:
Describe the scope of work in detail: /v ` &,z cr.
Ed-c ) fJ` `2
('LOX Si:r J
MANUFACTURED HOME
Width: q
Length: Lib "
Year: ertj k ,'aj1J
Pit Set:
Septi cew
Manufacture:
Previous Address:
Proposed Use:
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w AZ.5
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
❑ Mastercard
Expires:
Date
❑ VISA
VIN#:
g225PA k R
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PLANNING DEPT. APPROVED
BY:
DATE
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Page 1 of 1
Anita Blake
From: Anita Blake
Sent: Wednesday, October 04, 2006 11:03 AM
To: Mike Connelly
Subject: 422 S PARK
Mike:
On August 14, our office received Mr. Breza's building permit application for "new permit because County lost
records (block set)." I noted on the signature block for building permit that per Tom Scholtens, our office must
have a copy of the Labor & Industries permit prior to issuance of a placement permit by us.
Please let me know if you need additional information. I took notes during this process and documented them in
the plus system, under logs.
Anita Blake
Permit Specialist
509/688-0234
Important
rnessage
For Ct"Y\ '
From
Time 1'' Date
Phone (1--tc
❑ URGENT(
Message
rrnaru
10/4/2006