2004, 04-13 Permit: BLD-04-04069 Stove, PipingSpokane
,,,,, Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 403 S CUSTER ST
SPOKANE VALLEY WA 99212
Description: GAS STOVE AND PIPING
Subdivision:
Owner:
Applicant:
Address:
GREEN, GAYLE
MECHANICAL PERMIT
Lot: Blk: Parcel No:
GREEN, GAYLE Phone: (509) 226-1185
4119 N SIMPSON RD
OTIS ORCHARDS, WA 99027
Contractor: Phone:
Address: Lic No:
Permit #:
Applied:
Issued:
Expires:
BLD -04-04069
Zoning:
04/13/2004
04/13/2004
10/10/2004
General Information:
SUPPLEMENTAL PERMIT
GAS LOG, INSERT, FIREPLACE
GAS PIPING (ea. OUTLET)
N
1
1
Fees:
MECHANICAL PROCESSING FEE
GAS LOG, INSERT, FIREPLACE
GAS PIPING
Total Calculated:
Deposits/Receipts:
Total Due:
35.00
10.00
1.00
46.00
46.00
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 fe-ral, state oocal laws, codes or ordinances.
ewnership of resulting development rights granted by any issued p operty owner.
.......,
./e_ 6 e�Li
Print Name 1
Staff Initials
S. nature Date
THIS IS NOT A RECEIPT