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2003, 10-15 Permit BLD-03-02790 MHSpokane .Valley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 MANUFACTURED HOME PERMIT Job Address: 18103 E COW LEY AVE GREENACRES WA 99016-9390 Description: NEW DOUBLE WIDE MANUFACTURED HOME Subdivision: Owner: Applicant: Address: Contractor: Address: PETTIBONE, KRISTINE A Permit #: BLD-03-02790 Lot: Blk: Parcel No: 55184.1419 PETTIBONE, KRISTINE A Phone: (509) 922-0831 18103 E COWLEYAVE GREENACRES, WA 99016-9390 GARY'S BACKHOE SERVICE 17517 S MALLOY PRAIRIE RD CHENEY WA 99004 Phone: Lic No: (509) 999-2819 GARYSBS055KJ Applied: 10/15/2003 Issued: 10/15/2003 Expires: 04/12/2004 Zoning: General Information: SECTIONS YEAR BUILT DIMENSIONS # OF STORIES # OF BEDROOMS FRONT SETBACK REAR SETBACK LEFT SETBACK RIGHT SETBACK MANUFACTURER 2w 2003 26'8"X52 1 3 26 100+ 36 12 MARLETTE Fees: PER SECTION FEE 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 p Print Name Signature erty owner. X1ii `F Date Staff Initials THIS IS NOT A RECEIPT