2004, 01-14 Permit: BLD-04-03404 Gas PipingSpokanerrn�nr �`
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
MECHANICAL PERMIT
Job Address: 122 N BOWDISH RD
SPOKANE WA 99206-5171
Description: SAFETY INSPECTION OF EXISTING GAS PIPING
Subdivision:
Owner:
Applicant:
Address:
LAMBARTH, DOUGLAS D/GEISSLER,
Permit #: BLD -04-03404
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45164.0501 Zoning:
FREDERICK, PAM Phone: (509) 455-8600
1500 W 4TH AVE 202
SPOKANE, WA 99204
Contractor: Phone:
Address: Lic No:
01/14/2004
01/14/2004
07/12/2004
General Information:
SUPPLEMENTAL PERMIT
GAS PIPING (ea. OUTLET)
N
1
Fees:
MECHANICAL PROCESSING FEE
GAS PIPING
Total Calculated:
Deposits/Receipts:
Total Due:
35.00
1.00
36.00
36.00
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 issue(fpermit ure to the proper o
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Print NameSignat e -4 frk eic
Staff Initials
THIS IS NOT A RECEIPT
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