2003, 08-18 Permit BLD-03-02259 Set MHary cx i��r�
Spokane
.0000Va11ey
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 11303 E JACKSON AVE #
SPOKANE WA 99212
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
4- MOBILE
MANUFACTURED HOME PERMIT
12
Permit #:
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45092.9612M
INLAND HOMES LLC Phone: (509) 921-9351
11303 E JACKSON #58
SPOKANE, WA 99206
MR B'S MOBILE SERVICE
PO BOX 796
DEER PARK WA 99006
Phone:
Lic No:
(509) 276-8133
MRBSMHS146BS
BLD-03-02259
Zoning:
08/18/2003
08/18/2003
02/14/2004
General Information:
SECTIONS
DIMENSIONS
MANUFACTURER
Fees:
2w PER SECTION FEE
27 X 52
2003 - MODULINE
Total Calculated:
Deposits/Receipts:
Total Due:
100.00
100.00
100.00
0.00
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be in
compliance. Subsequent issuance of a permit shall not be construed to be a pemiit for, or an approval of, any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
Applicant
Date
Counter Approval
Please print name here
THIS IS NOT A RECEIPT