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2004, 03-12 Permit: BLD-04-03753 MH*Wane .1•0'fValley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 MANUFACTURED HOME PERMIT Job Address: 211 N MARGUERITE RD SPOKANE WA 99212 Description: PLACEMENT OF DOUBLEWIDE MANUFACTURED HOME Subdivision: Owner: Applicant: Address: Contractor: Address: JAMESON, JESS Permit #: Applied: Issued: Expires: BLD -04-03753 Lot: Blk: Parcel No: 45184.1131 Zoning: JAMESON, JESS Phone: (509) 953-7383 310 S PINES RD SPOKANE VALLEY, WA 99206 ON THE ROCK CONSTRUCTION PO BOX 19315 SPOKANE WA 99219 Phone: Lic No: (509) 599-7214 ROCKCI*984JS 03/12/2004 03/12/2004 09/08/2004 General Information: SECTIONS YEAR BUILT DIMENSIONS # OF STORIES # OF BEDROOMS FRONT SETBACK REAR SETBACK LEFT SETBACK RIGHT SETBACK MANUFACTURER 2w 2003 27 X 58 1 3 30 62 21 21 PALM HARBOR Fees: PER SECTION FEE 100.00 Total Calculated: Deposits/Receipts: Total Due: 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 --.Ie-55 A - J GYlCSO/? Print Name Staff Initials permit inure to the . a;erty owner. Signature THIS IS NOT A RECEIPT