2004, 08-10 Permit: BLD-04-07327 Water HeaterSpokane
.005M1.1ey
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
MECHANICAL PERMIT
Job Address: 1621 S CLINTON RD
SPOKANE WA 99216-0420
Description: GAS WATER HEATER CHANGE -OUT
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
RENZ, LUCEILLE V
Permit #:
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45271.1810
KENS CONTRACTING Phone: (208) 664-0649
6720 W HARBOR DR
COEUR D'ALENE, ID 83814
KENS CONTRACTING
6720 W HARBOR DR
COEUR D'ALENE ID 83814
Phone:
Lic No:
(208) 664-0649
KENSCS*984LC
BLD -04-07327
Zoning:
08/10/2004
08/10/2004
02/06/2005
General Information:
SUPPLEMENTAL PERMIT
FUEL BURNING WATER HEATER
N
1
Fees:
MECHANICAL PROCESSING FEE
FUEL BURNING WATER HEATER
Total Calculated:
Deposits/Receipts:
Total Due:
35.00
10.00
45.00
45.00
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
re to the property ow _r.
f•
Print Name ign- ure
Staff Initials
THIS IS NOT A RECEIPT
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Date