I think the real answer to all the spacers is whatever it takes for there to be a solid stack of material between the top side of the skid plate and your truck when it's bolted on. You want the skid plate load bearing.. so it can't bend under load. That center bolt for example is a good spot for the floor jack- so it should have a solid stack of spacers/washers above it all the way to the cross member it's bolted to. I seem to recall only having spacers on that one center bolt though, not front or back, though the back of that skid was lapped over the belly skid, so you could call that a spacer.
And I took it off completely when changing the oil. I could never get the all the spilled oil off it otherwise, and I couldn't stand the drips.