2004, 03-25 Permit: BLD-04-03898 MH r elle
�l'� y MANUFACTURED HOME PERMIT
11707 E.Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-03898
Job Address: 1212 N UNIVERSITY RD Applied: 03/25/2004
SPOKANE VALLEY WA 99206 Issued: 03/29/2004
Description: PIT SET- DOUBLE WIDE MANUFACTURED HOME Expires: 09/25/2004
CONTRACTOR UNKNOWN
Subdivision: Lot: Blk: Parcel No: Zoning:
Owner: JANSON, KENNETH
Applicant: JANSON, KENNETH Phone:
Address: 13319E 23RD AVE
SPOKANE,WA 99216-2805
Contractor: Phone:
Address: Lic No:
General Information: Fees:
SECTIONS 2w PER SECTION FEE 100.00
YEAR BUILT 2004 Total Calculated: 100.00
DIMENSIONS 28 X 58-8
#OF STORIES 1 Deposits/Receipts: 100.00
#OF BEDROOMS 3 Total Due: 0.00
FRONT SETBACK 30
REAR SETBACK 57
LEFT SETBACK 6-6
RIGHT SETBACK 16
MANUFACTURER MARLETTE
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 devel pment rights granted by any issued perm' ure to the pro y,owner:-
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6 ,-1/1 ✓� . (moi/1C c? IPrint Name /0747 Signatures Date
Staff Initials
THIS IS NOT A RECEIPT
THIS IS NOT A PERMIT
Spokcirti r,r Penalties will be assessed for
ane commencing work without a permit
.,,,,•"Valley MANUFACTURED HOME
11707 E.Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Application#: BLD-04-03898
Job Address: 1212 N UNIVERSITY RD Applied: 03/25/2004
SPOKANE VALLEY WA 99206 Issued:
Description: PIT SET-DOUBLE WIDE MANUFACTURED HOME Expires: 09/21/2004
CONTRACTOR UNKNOWN
Subdivision: Lot: Bik: Parcel No: Zoning:
Owner: JANSON, KENNETH
Applicant: JANSON, KENNETH Phone:
Address: 13319E 23RD AVE
SPOKANE,WA 99216-2805
Contractor: Phone:
Address: Lic No:
General Information: Fees:
SECTIONS 2w PER SECTION FEE 100.00
YEAR BUILT 2004
DIMENSIONS 28 X 58-8 Total Calculated: 100.00
#OF STORIES 1 Deposits/Receipts: 100.00
#OF BEDROOMS 3 Total Due: 0.00
FRONT SETBACK 30
REAR SETBACK 57
LEFT SETBACK 6-6
RIGHT SETBACK 16
MANUFACTURER MARLETTE
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CITY OF SPOKANE VALLEY
APPROVED FOR SUBMITTAL
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Planning 3/45/0
Public Works i �4 0.-d/_ ) '-6-(.0-/(S.Z.,)
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THIS IS NOT A RECEIPT