2003, 11-21 Permit: BLD-03-03132 FurnaceCiTti fii'��
Spokane
,r0,0•*Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
12212 E BUCKEYE AVE
SPOKANE WA 99206
GAS FURNACE CHANGE -OUT
MACY, STEVEN
MECHANICAL PERMIT
Permit #: BLD -03-03132
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45091.1561 Zoning:
AIR FORCE ONE Phone: (509) 998-7336
4320 N SOMMER CT
SPOKANE, WA 99216-2610
AIR FORCE ONE
4320 N SOMMER CT
SPOKANE WA 99216-2610
Phone:
Lic No:
(509) 998-7336
AIRFOO*970MH
11/21/2003
11/21/2003
05/19/2004
General Information:
SUPPLEMENTAL PERMIT
FUEL BURNING APPL <= 100,000
N
1
Fees:
MECHANICAL PROCESSING FEE
FUEL BURNING APPL <= 100,000
Total Calculated:
Deposits/Receipts:
Total Due:
35.00
15.00
50.00
50.00
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 prppert
owner.
HJT L!t Sc � II44-<—I It— a/ -63 -
Print Name Signature Date
Staff Initials
THIS IS NOT A RECEIPT