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2003, 10-06 Permit: BLD-03-02690 MHSpo"kanee l,,SValley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address: Description: Subdivision: Owner: Applicant: Address: Contractor: Address: 1704 N GRADY LN GREENACRES WA 99016 MANUFACTURED HOME THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Application #: BLD -03-02690 NEW DOUBLE WIDE MANUFACTURED HOME Lot: Blk: Parcel No: JOHNSTON, JUDY MASON, RICHARD Phone: (509) 953-3923 15918 E CAMERON CT SPOKANE, WA 99037 Phone: Lic No: Applied: Issued: Expires: Zoning: 10/06/2003 04/03/2004 General Information: SECTIONS YEAR BUILT DIMENSIONS # OF BEDROOMS FRONT SETBACK REAR SETBACK LEFT SETBACK RIGHT SETBACK MANUFACTURER Fees: 2w PER SECTION FEE 2003 27 X 67 3 6 5 19 12 MARLETTE Total Calculated: Deposits/Receipts: Total Due: 100.00 100.00 0.00 100.00 CITY OF, 'SPOKANE VALLEY APPROVED FOR SUBMITTAL Initials / D* Building Planning i1 tC / /D/o/ Public Works N3 , 52A-kxnx Gu t-tteo(. ILC 3 THIS IS NOT A RECEIPT Sp lane valley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address• Description: Subdivision: Owner: Applicant: Address: Contractor: Address: MANUFACTURED HOME PERMIT 1704 N GRADY LN GREENACRES WA 99016 NEW DOUBLE WIDE MANUFACTURED HOME Lot: Blk: Parcel No: MASON, RICHARD Phone: (509) 953-3923 JOHNSTON, JUDY 15918 E CAMERON CT SPOKANE, WA 99037 Phone: Lic No: Permit #: Applied: Issued: Expires: ,0 oa, BLD -03-02690 Zoning: 10/06/2003 10/0612003 04/03/2004 General Information: SECTIONS YEAR BUILT DIMENSIONS # OF BEDROOMS FRONT SETBACK REAR SETBACK LEFT SETBACK RIGHT SETBACK MANUFACTURER Fees: 2w PER SECTION FEE 2003 27 X 67 3 6 5 19 12 MARLETTE Total Calculated: Deposits/Receipts: Total Due: 100.00 100.00 100.00 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. Print ame Signatu e Staff Initials THIS IS NOTA RECEIPT