2004, 07-28 Permit BLD-04-07183 MH Spokane •
,,, .•' Milley MANUFACTURED HOME PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-07183
Job Address: 1109 S DISHMAN RD Applied: 07/28/2004
SPOKANE WA 99212 Issued: 07/29/2004
Description: REPLACEMENT OF SINGLE WIDE MOBILE HOME Expires: 01/25/2005
Subdivision: Lot: Blk: Parcel No: 45203.0517 Zoning:
Owner: THOMSON, PATTY
Applicant: THOMSON, PATTY Phone: (509)928-0691
Address: 1320 S SIESTA DR
SPOKANE,WA 99206-3106
Contractor: Phone:
Address:
Lic No:
General Information: Fees:
SECTIONS 1w PER SECTION FEE 50.00
YEAR BUILT 1967
DIMENSIONS 12 X 60 Total Calculated: 50.00
#OF STORIES 1 Deposits/Receipts: 50.00
#OF BEDROOMS 1 Total Due: 0.00
FRONT SETBACK 40
REAR SETBACK 40
LEFT SETBACK 20
RIGHT SETBACK 20
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 per it inure e property owner.
Print Name 'Signature Date
Staff Initials
THIS IS NOT A RECEIPT