2004, 06-04 Permit: BLD-04-04492 MHsfioke
41_# Eley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
MANUFACTURED HOME PERMIT
Job Address• 1425 S WINTER RD
SPOKANE WA 99212
Description: DOUBLE WIDE MANUFACTURED HOME
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
BLACK, KAREN L
Permit #:
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45193.1111
BLACK, KAREN L Phone: (509) 891-2565
4203 N LOCUST
SPOKANE, WA 99206
phone:
Lic No:
BLD -04-04492
Zoning:
06/04/2004
06/04/2004
12/01/2004
General Information:
SECTIONS
YEAR BUILT
DIMENSIONS
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
FLANKING SETBACK
MANUFACTURER
Fees:
2w PER SECTION FEE
2004
28 X 56
3
35
43
70
9
70
FLEETWOOD
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 property owner.
lee A) &1nu<
Print Name Signature
Staff Initials
THIS IS NOT A RECEIPT
Date