2004, 04-02 Permit BLD-04-03963 MHSpokane
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11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
MANUFACTURED HOME PERMIT
Job Address: 11920 E MANSFIELD AVE #12
SPOKANE WA 99206-4763
Description: SINGLE WIDE MOBILE HOME
Subdivision:
Owner:
Applicant:
Address:
PINECROFT MOBILE HOME PARK
#12
Lot: Blk: Parcel No:
PINECROFT MOBILE HOME PARK Phone: ( ) -
11920 E MANSFIELD AVE #40-A
SPOKANE, WA 99206-4765
Contractor: Phone:
Address: Lic No:
Permit #:
Applied:
Issued:
Expires:
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BLD-04-03963
Zoning:
04/02/2004
04/02/2004
09/29/2004
General Information:
SECTIONS
YEAR BUILT
DIMENSIONS
MANUFACTURER
1w
1974
14 X 64
VAN DYKE
Fees:
PER SECTION FEE
Total Calculated:
Deposits/Receipts:
Total Due:
50.00
50.00
50.00
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 to _. r:7 -, codes or ordinances.
Ownership of resulting development rights granted by any issue
62 tr C (r ram, s
Print Name
Staff Initials
Signature
property
wner.
Date
THIS IS NOT A RECEIPT