2003, 10-21 Permit: BLD-03-02840 MH Placement #21Spokane
Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
MANUFACTURED HOME PERMIT
Job Address: 4415 N ADAMS RD #21 #21
SPOKANE WA 99212
Description: SINGLE WIDE MOBILE HOME
302-/\
Permit #: BLD -03 -02840
Applied: 10/21/2003
Issued: 10/21/2003
Expires: 04/18/2004
Subdivision: Lot: Blk: Parcel No: 45022.6109M Zoning:
Owner: WALDEN, NEIL
Applicant: WALDEN, NEIL Phone: (509) 928 -4595
Address: 4415 N ADAMS RD # A -12
SPOKANE VALLEY, WA 99216
Contractor: Phone:
Address: Lic No:
General Information: Fees:
SECTIONS 1w PER SECTION FEE 50.00
YEAR BUILT 1959
DIMENSIONS 10 X 45 Total Calculated: 50.00
MANUFACTURER REX Deposits /Receipts: 50.00
Total Due:
0.00
Disclaimer:
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.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
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Print Name Signature Date
Staff Initials
THIS IS NOT A RECEIPT