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2003, 11-19 Permit: BLD-03-03104 Mechanical FixtureSpokane ., . Valley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 MECHANICAL PERMIT Job Address: 7926 E BALDWIN AVE SPOKANE WA 99212 Description: CONVERT TO GAS FURNACE & 1 PIPING Subdivision: Lot: Owner: Applicant: Address: Contractor: Address: BOCKSTRUCK, JON F BOCKSTRUCK, JON F 7924 E BALDWIN AVE SPOKANE, WA 99212 Blk: Parcel No: Phone: Phone: Lic No: Permit #: Applied: Issued: Expires: BLD -03 -03104 Zoning: 11/19/2003 11/19/2003 05/17/2004 General Information: SUPPLEMENTAL PERMIT FUEL BURNING APPL <= 100,000 GAS PIPING (ea. OUTLET) N 1 1 Fees: MECHANICAL PROCESSING FEE FUEL BURNING APPL <= 100,000 GAS PIPING Total Calculated: Deposits /Receipts: Total Due: 35.00 15.00 1.00 51.00 51.00 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 e property owner. Print Name Staff Initials Si ature THIS IS NOT A RECEIPT Date