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2004, 04-21 Permit: BLD-04-04147 Gas FurnaceSpokane Valley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address: 702 N ADAMS RD SPOKANE WA 99216 -2077 Description: GAS FURNACE Subdivision: Owner: Applicant: Address: Contractor: Address: GRAIG, PATRICIA MECHANICAL PERMIT Permit #: BLD -04 -04147 Applied: Issued: Expires: Lot: Blk: Parcel No: 45144.0760 Zoning: BANNER FURNACE & FUEL CO INC Phone: (509) 535 -1711 PO BOX 4346 SPOKANE, WA 99202 BANNER FURNACE & FUEL CO INC PO BOX 4346 SPOKANE WA 99202 Phone: Lic No: (509) 535 -1711 BANNEFF378NT 04/21/2004 04/21/2004 10/18/2004 General Information: SUPPLEMENTAL PERMIT FUEL BURNING APPL <= 100,000 N 1 Fees: MECHANICAL PROCESSING FEE FUEL BURNING APPL <= 100,000 Total Calculated: Deposits /Receipts: Total Due: 35.00 15.00 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 local laws, codes or ordinances. Ownership of resulting development rights granted by any issued permit inure to the property owner. C4 ,d_i_4(21 Print Name Signature Da Staff Initials THIS IS NOT A RECEIPT