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2006, 11-16 Permit App 06004550 Set MHProject Number: 06004550 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: 2007 26 X 60 VALLEY QUALITY HOME PLACEMENT Setbacks: Front Site Information: Plat Key: Left: Right: Rear: Name: Range Date: 11/16/2006 Page 1 of 2 Contact: BARNES ENTERPRISE Address: PO BOX 141617 C - S - Z: SPOKANE WA 99214 Phone: (509) 921-9068 Group Name: Project Name: District: Sout Parcel Number: 45274.1222 Block: SiteAddress: 13715 E 32ND AVE Location:: CSV Zoning: UR-3.5 Urban Residential 3.5 Water District: 010 VERA Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Lot: Owner: Name: ARCHIE J AND ELLEN L YAGER Address: PO BOX 143 RATHDRUM ID 83858 Review Information: Hold: ❑ Review Building Plan Review Released By: ( Landuse/Zoning/HE Conditions Permits: Released B cc Manufactured Home Contractor: BARNES ENTERPRISES INC Firm: BARNES ENTERPRISES INC Address: PO BOX 141617 Phone: (509) 921-9068 SPOKANE WA 99214 Item Description Units Unit Desc Fee Amount INSPECTION FEE 2 # SECTIONS $100.00 Permit Total Fees: $100.00 Operator: jmm Printed By: jmm Print Date: 11/16/2006 Proiect Number: 06004550 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 11/16/2006 Page 2 of 2 BLA 33-06. WILL UPDATE PARCEL AFTER NUMBER IS RECEIVED PER CHRISTINA. Payment Summary: Permit Type Manufactured Home Fee Amount Invoice Amount Amount Paid Amount Owing $100.00 $100.00 $0.00 $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: jmm Print Date: 11/16/2006 cn c� Permit Center Spokane 11707 E Sprague Ave, Suite 10; j alle Spokane Valley, WA 99206 ,S ( E VGLl (509)688-0036 FAX: (509)688-0037 Community Development ww.spokanevalley.ora NOV 1 5 Manufactured Home Permit Application RPERMIT NUMBER: L/5J�0 PERMIT FEE: SITE ADDRESS: / 3 7/ S 3 Z .-4C ASSESSORS PARCEL NO: LEGAL DESCRIPTION: Building Owner: Name: /7/2c4 !& �% i r/ ci r /� r✓ L ` � iiGFi Address: e 0. I� /)/ 3 / City: /c0 gd/f2 `t, Stated—, Zip: gS�'c -' Phone: C..,,e) 6s 7_ 2 y y Fax: - Contact Person Name: ✓-,t /2 c % / �� �� Phone: S) 7-- Z V y'f Contractor: Name: SAf1GS L 11* ...j..C- Address: 'VU 50 3 / ti / !v City: 5 rg0 X - State: “,,¢ . Zip: yq L i y Phone: q- 2 I - 'o 6, 8 Fax: 72 / _ E' ? S. S Contractor Lic No: E Date: 13e4�Nc'E2c�n: ri6 (c,._/ 1-0 c9 City Business Lic. No: Describe the scope of work in detail: /0/ ow -ix. , fg-G iu,,,zE <1 1 Ay C /9 / /;1Gc I /L' /- f fc f7, r,`t-' Tg-1 itfi'/ifi6s' at-dice?i a En S ft �r/xS / l � TG- l�'rAO•v F CoP.;�-�/uc 64I MANUFACTURED HOME Width: . • Length: t 6. Year: Zap 7 Pit Set: yz. Manufacture: V, //6 y �u l • / y Haw E S Previous Address: / 7/,2 3 sig4 e 6i-2 Ee.09-cn si W /a . Proposed Use: ge-s ‘ of F cv C C Septi 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 823/2005 ❑ Check D Mastercard Expires: Date //// s/zGd (, ❑ VISA VIN#: powEr� � 6All 3� Y `6. O p � PLANNING DEPT. APPR VP t � g DATE: i I I I' 2V 3„ �I %C-I,Ac ped L-sf8 i I 1 i 1 /I /5'