2003, 09-29 Permit App: BLD-03-02622 MFH S kane
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11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Permit#: BLD-03-02622
Job Address: 4309 N KELLER RD Applied: 09/29/2003
SPOKANE WA 99216-1207 Issued: 09/29/2003
Description: DOUBLE WIDE MOBILE HOME EXISTING SINCE 1975 Expires: 03/27/2004
Subdivision: Lot: BIk: Parcel No: 45031.2302 Zoning:
Owner: ROYBAL, DONALD D&TAMI
Applicant: ROYBAL, DONALD D&TAMI Phone: (509)216-2719
Address: 4309 N KELLER RD
SPOKANE, WA 99216-1207
Contractor: Phone:
Address: Lic No:
General Information: Fees:
SECTIONS 2w PER SECTION FEE 100.00
YEAR BUILT 1975 Total Calculated: 100.00
DIMENSIONS 28 X 78
#OF STORIES 1 Deposits/Receipts: 100.00
#OF BEDROOMS 3 Total Due: 0.00
FRONT SETBACK 43
REAR SETBACK 79
LEFT SETBACK 42
RIGHT SETBACK 5
MANUFACTURER TAMARACK
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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.
Print Name Signature Date
Staff Initials
THIS IS NOT A RECEIPT