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2003, 10-16 Permit: BLD-03-02796 MHSpokane 4,,00Valley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 MANUFACTURED HOME PERMIT Job Address: 612 N FARR RD SPOKANE WA 99206-3878 Description: SINGLE WIDE MOBILE HOME Subdivision: Owner: Applicant: Address: OLIVE, GARY B Permit #: Applied: Issued: Expires: (1) -- BLD-03-02796 Lot: Blk: Parcel No: 45173.0103 Zoning: OLIVE, GARY B Phone: (509) 998-7654 612 N FARR RD SPOKANE, WA 99206-3878 Contractor: Phone: Address: Lic No: 10/16/2003 10/16/2003 04/13/2004 General Information: SECTIONS YEAR BUILT DIMENSIONS # OF STORIES FRONT SETBACK REAR SETBACK LEFT SETBACK RIGHT SETBACK MANUFACTURER Fees: 1w PER SECTION FEE 50.00 1976 14 X 66 1 50 Total Due: EXISTING Total Calculated: Deposits/Receipts: 42 19 NASHUA 50.00 50.00 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 per it in to the property owner. a,„„,I /°/6/a3 Dafe Print N mei Staff Initials Signature THIS IS NOT A RECEIPT