2004, 05-11 Permit: BLD-04-04320 Gas PipingSpokane
�,,�.•'� Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 2508 S ADAMS RD
SPOKANE WA 99212
Description: GAS PIPING
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
HOLLINGSWORTH, J
MECHANICAL PERMIT
Permit #: BLD -04 -04320
Applied: 05/11/2004
Issued: 05/11/2004
Expires: 11/07/2004
Lot: Blk: Parcel No: 45263.0414 Zoning:
STURM HEATING INC Phone: (509) 325 -4505
1112 N NELSON
SPOKANE, WA 99202
STURM HEATING INC
1112 N NELSON
SPOKANE WA 99202
Phone:
Lic No:
(509) 325 -4505
STURMI *210QF
General Information:
SUPPLEMENTAL PERMIT
GAS PIPING (ea. OUTLET)
N
1
Fees:
MECHANICAL PROCESSING FEE
GAS PIPING
Total Calculated:
Deposits /Receipts:
Total Due:
35.00
1.00
36.00
36.00
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 local laws, codes or ordinances.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
Print Name Signature Date
I
Staff Initials
THIS IS NOT A RECEIPT