2003, 09-22 Permit: BLD-03-02539 Furnace, PipingSpoo`kan'e
jValley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
522 N BEST RD
SPOKANE WA
GAS FURNACE AND 3 -PIPING
MECHANICAL PERMIT
Subdivision: Lot:
Owner:
Applicant:
Address:
Contractor:
Address:
BURSON, HOMER
POLAR HEATING
12928 E INDIANA AVE
SPOKANE, WA 99216
POLAR HEATING AND AIR
12928 E INDIANA AVE
SPOKANE WA 99216
SUITE 8
SUITE 8
Blk: Parcel No:
Phone: (099) 263-200
Phone:
Lic No:
(509) 926-3200
POLARHA033JJ
Permit #:
Applied:
Issued:
Expires:
BLD -03-02539
09/22/2003
09/22/2003
03/20/2004
Zoning:
General Information:
SUPPLEMENTAL PERMIT
FUEL BURNING APPL <= 100,000
GAS PIPING (ea. OUTLET)
N
1
3
Fees:
MECHANICAL PROCESSING FEE
FUEL BURNING APPL <= 100,000
GAS PIPING
Total Calculated:
Deposits/Receipts:
Total Due:
35.00
15.00
3.00
53.00
53.00
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
Staff Initials
Signature Date
THIS 15 NOT A RECEIPT