2004, 09-01 Permit BLD-04-07543 MH SetSpokane
,_.0.Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
MANUFACTURED HOME PERMIT
Job Address: 11303 E JACKSON AVE # 4
SPOKANE VALLEY WA 99212
Description:
Subdivision:
Owner:
Applicant:
Address:
DOUBLE WIDE MANUFACTURED HOME REPLACEMENT
Lot: Blk: Parcel No:
MEYER, WILLIAM D Phone: (509) 534-6398
MEYER, WILLIAM D
11303 E JACKSON #58
SPOKANE, WA 99206
Contractor: Phone:
Address: Lic No:
Permit #:
Applied:
Issued:
Expires:
BLD-04-07543
Zoning:
09/01/2004
09/01/2004
02/28/2005
General Information:
SECTIONS
YEAR BUILT
DIMENSIONS
MANUFACTURER
Fees:
2w PER SECTION FEE
2004
27X44
GOLDENWEST
Total Calculated:
Deposits/Receipts:
Total Due:
100.00
100.00
100.00
0.00
Conditions of MANUFACTURER'S PLACEMENT SPECIFICATIONS ARE REQUIRED TO BE ON JOB SITE AT TIME OF
Approval: INSPECTION.
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 ' inure to the property owner.
....-----h dit.„:„...
Signature V.,(7/-"1„--'.
Print Name
Da' /
Staff Initials
THIS IS NOT A RECEIPT