2004, 07-01 Permit BLD-04-07003 MHSpokane
.00.0Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
19424 E COLYAR LN
GREENACRES WA 99016
MANUFACTURED HOME PERMIT
DOUBLE WIDE MANUFACTURED HOME
TIBESAR, ERIC
Permit #:
Applied:
Issued:
Expires:
BLD-04-07003
07/01/2004
07/01 /2004
12/28/2004
Lot: Blk: Parcel No: Zoning:
MASON, RICHARD Phone: (509) 953-3923
15918 E CAMERON CT
SPOKANE, WA 99037
Phone:
Lic No:
General Information:
SECTIONS
YEAR BUILT
DIMENSIONS
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
MANUFACTURER
Fees:
2w PER SECTION FEE 100.00
2004
26' 8" X 64
1
3
13'
MIN 25'
8'
26'
MARLETTE
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 issued permit inure o the propowner.
(11{04/77kPSe
Print game Signature
71/6
Dae
Staff Initials
THIS IS NOT A RECEIPT