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2007, 01-22 Permit App: 07000192 Heat Pump, ACProject Number: 07000192 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 1/22/2007 Page 1 of 2 Project Information: Permit Use: 1 HEAT PUMP/AIR CONDITIONER Contact: DIVCO INC Address: 715 N MADELIA C - S - Z: SPOKANE, WA 99202 Setbacks: Front Left: Right: Rear: Phone: (509) 534-7225 Group Name: Project Name: Site Information: Plat Key: Name: Range District: Nort Parcel Number: 35144.9088 Block: SiteAddress: 5724 E BROADWAY AVE Location:: CSV Zoning: I-3 Heavy Industrial Water District: 107 SPOKANE, CITY OF Area: 5.99 Acres Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Review Plan Review Permits: Lot: Owner: Name: RANDALL & ROBINSON LTD Address: PO BOX 11245 SPOKANE, WA 99211-1245 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Contractor: DIVCO INC Address: 715 N MADELIA Phone: (509) 534-7225 SPOKANE WA 99202 Mechanical Permit Firm: DIVCO INC Item Description Units Unit Desc Fee Amount HEAT PUMP OR A/C 0-3 TONS 1 NUMBER OF $12.00 PROCESSING FEE 1 SELECT $35.00 Permit Total Fees: $47.00 Operator: jmm Printed By: jmm Print Date: 1/22/2007 Pro;:.ct Number: 07000192 Inv: 1 Notes: Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 1/22/2007 Page 2 of 2 Payment Summary: Permit Type Mechanical Permit Fee Amount Invoice Amount Amount Paid Amount Owing $47.00 $47.00 $0.00 $47.00 $47.00 $47.00 $0.00 $47.00 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or Local laws or ordinances. Signature: Operator: jmm Printed By: jmm Print Date: 1/22/2007