2003, 10-29 Permit: BLD-03-02940 Mechanical FixturesSpokane e�
jValley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
12919 E BLOSSEY AVE
SPOKANE WA 99216-0304
FURNACE, 3 PIPING, 2 LPG TANKS
MECHANICAL PERMIT
Subdivision: Lot:
Owner:
Applicant:
Address:
Contractor:
Address:
MATTESON, RAY J
BANNER FURNACE & FUEL CO INC
PO BOX 4346
SPOKANE, WA 99202
BANNER FURNACE & FUEL CO INC
PO BOX 4346
SPOKANE WA 99202
Permit #:
Blk: Parcel No: 45272.1414
Phone: (509) 535-1711
Phone:
Lie No:
(509) 535-1711
BANNEFF378NT
Applied:
Issued:
Expires:
BLD -03-02940
10/29/2003
10/29/2003
04/26/2004
Zoning:
General Information:
SUPPLEMENTAL PERMIT
FUEL BURNING APPL <= 100,000
GAS PIPING (ea. OUTLET)
LPG STORAGE TANK
N
1
3
2
Fees:
MECHANICAL PROCESSING FEE
FUEL BURNING APPL <= 100,000
GAS PIPING
LPG STORAGE TANK
Total Calculated:
Deposits/Receipts:
Total Due:
35.00
15.00
3.00
20.00
73.00
73.00
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.
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Staff Initials
Signature Dat--� ' I
THIS IS NOT A RECEIPT