2004, 10-22 Permit: BLD-04-08019 MH1 or
Spo1�ane
.000Valley MANUFACTURED HOME PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 1716 GRADY LN
SPOKANE VALLEY WA 99016
Description: 53'4" X 40'0" PIT SET TRIPLE WIDE
Subdivision:
Owner:
Applicant:
Address:
Lot: Blk: Parcel No:
TED & MARY SHEPPARD
MASON, RICHARD Phone: (509) 953-3923
15918 E CAMERON CT
SPOKANE, WA 99037
Contractor: Phone:
Address: Lic No:
Permit #:
Applied:
Issued:
Expires:
BLD -04-08019
Zoning:
10/22/2004
10/22/2004
04/20/2005
General Information:
SECTIONS
YEAR BUILT
DIMENSIONS
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
FLANKING SETBACK
MANUFACTURER
Fees:
3w PER SECTION FEE
2004
53'4" X 40'0"
1
3
6
32.67
8
5
N/A
MARLETTE
Total Calculated:
Deposits/Receipts:
Total Due:
150.00
150.00
150.00
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 permit inure to the • • • owner.
D2o5 C� dzz, zeb?(
Date
Print Name Signature
Staff Initials
THIS IS NOT A RECEIPT