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2009, 11-04 Permit: 09003596 Gas Piping, InsertSpokane Valley PERMIT CENTER 11703 E. Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 1 Site Information Project Information Site Address: 12927 E BLOSSEY AVE Parcel Number: 45272.1415 Subdivision: Block: Lot: Zoning: R-4 SF Res Urban District Owner: MCMILLAN, WM F Address: 12927 E BLOSSEY AVE SPOKANE VALLEY, WA 99216-0304 Building Inspector: SOUTH Water Dist: VERA 1 Project Number: 09003596 Inv: 1 Issue Date: 11/04/2009 Permit Use: 1 GAS PIPING, 1 GAS INSERT Applicant: QUALITY STOVE & PELLETS 1611 E EDMONTON AVE POST FALLS, ID 83854 Phone: (208) 457-8868 Contact: QUALITY STOVE & PELLETS 1611 E EDMONTON AVE POST FALLS, ID 83854 Phone: (208) 457-8868 Setbacks Front: Left: Right: Rear: Group Name: Project Name: 1 Permits1 Mechanical Permit Contractor: QUALITY STOVE & PELLETS INC License #: QUALISPOI 5L1 GAS PIPING 1 $1.00 GAS LOG OR GAS INSERT 1 $11.00 PROCESSING FEE FOR MECHANICAL INSPECTIONS CALL (509) 688-0054. $37.00 Total Permit Fee: $49.00 Payment Summary Total Fees AmountPaid AmountOwing $49 00 $49.00 50.00 Tran Date Receipt # Payment Amt 11/04/2009 20705 549.00 Processed By: Main, Jodi L Printed By: MORRIS, HEATHER Page 1 of 1 PERMIT