2004, 03-17 Permit: BLD-04-03798 Mechanical FixturesSfiiikane
MECHANICAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 11403 E BOONE AVE
SPOKANE WA 99206-4851
Description: GAS INSERT & 2 GAS PIPING
OWNER CONTRACTOR
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
Permit #:
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45162.0522
GLOCKNER, JACK M
GLOCKNER, JACK M Phone:
11403 E BOONE AVE
SPOKANE, WA 99206-4851
Phone:
Lic No:
BLD -04-03798
Zoning:
03/17/2004
03/17/2004
09/13/2004
General Information:
SUPPLEMENTAL PERMIT
GAS LOG, INSERT, FIREPLACE
GAS PIPING (ea. OUTLET)
N
1
2
Fees:
MECHANICAL PROCESSING FEE
GAS LOG, INSERT, FIREPLACE
GAS PIPING
Total Calculated:
Deposits/Receipts:
Total Due:
35.00
10.00
2.00
47.00
47.00
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 issuepermit inure to the property owner.
Print Name
Staff Initials
11-/7-01/
Si nature Date
THIS I5 NOT A RECEIPT