2004, 04-21 Permit BLD-04-04164 MHSpokane
.000Milley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
MANUFACTURED HOME PERMIT
2015 N FARR RD
SPOKANE VALLEY WA 99206
PLACEMENT OF DOUBLEWIDE
OWNER CONTRACTOR
Permit #:
Applied:
Issued:
Expires:
BLD-04-04164
04/21/2004
04/21/2004
10/18/2004
Lot: Bik: Parcel No: 45083.0121 Zoning:
WENTWORTH, ROBERT D & JOETTE L
WENTWORTH, ROBERT D & JOETTE L Phone:
9618 E SHANNON AVE
SPOKANE, WA 99206-4126
Contractor: Phone:
Address: Lic No:
General Information:
SECTIONS
YEAR BUILT
DIMENSIONS
# OF STORIES
# OF BEDROOMS
FRONT SETBACK
REAR SETBACK
LEFT SETBACK
RIGHT SETBACK
MANUFACTURER
2w
2004
26.8 X 66
1
3
25
190
12
32
FLEETWOOD
Fees:
PER SECTION FEE 100.00
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 clone 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.
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Print Name
Signature
y-r -C
Date
Staff Initials
THIS IS NOT A RECEIPT