2004, 01-30 Permit BLD-04-03475 Place MHSpokane
,,0,0*Valley MANUFACTURED HOME WITH BASEMENT PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 10506 E 4TH AVE
SPOKANE VALLEY WA 99206
Description: PLACEMENT OF DOUBLEWIDE ON UNFINISHED BASEMENT
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
OPFER, NEIL D
OPFER, NEIL D
425 S VAN MARTER RD
SPOKANE, WA 99206-5562
G L MOMB CONSTRUCTION
23204 E INLET DR
LIBERTY LAKE WA 99019-
Permit #: BLD-04-03475
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: Zoning:
Phone: (509) 926-4325
Phone: (509) 927-9708
Lic No: GLMOMLM977P9
01/30/2004
01/30/2004
07/28/2004
General Information:
VALUATION
SECTIONS
DIMENSIONS
SERVED BY SEPTIC SYSTEM
WELLS LOCATED ON PROPERTY
15768
2w
27 X 40
no
no
Fees:
PLAN CHECK FEE
BASIC PERMIT FEE
PER SECTION FEE
WSBCC SURCHARGE
Total Calculated:
Deposits/Receipts:
Total Due:
172.41
265.25
100.00
4.50
542.16
542.16
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 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 � Date
Staff Initials
THIS IS NOT A RECEIPT