2010, 10-08 Permit App: 10003298 Gas PipingProject Number: 10003298 Inv: t
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/8/2010 Page 1 of 2
Proiect Information:
' Permit Use: 1 GAS PIPING Contact: MOSER INC
Setbacks: Front
Site Information:
Plat Key:
Left: Right: Rear:
Address:
C - S - Z:
Phone:
Group Name:
Project Name:
10437 W WESTBOW
SPOKANE, WA 99224
(509) 747-0950
BENCHMARK INDUSTRIAL
Name: Range
District: Nort
Parcel Number: 35123.1111 Block:
SiteAddress: 6026 E BALDWIN AVE
Location:: CSV
Zoning: 1-1 Industrial Park
Water District: 107 SPOKANE, CITY OF
Area: 24,414 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Lot:
Owner: Name: MOUNT CLEVELAND DEVELPO
Address: 7393 MONTANA HWY 35
BIG FORK, MT 59911
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review Information:
Review
Plan Review
Released By: 4 w ?i — i 0
Permits:
Mechanical Permit
Contractor: MOSER INC
Address: 10437 W WESTBOW BLDG
SPOKANE WA 99224
Item Description
GAS PIPING
PROCESSING FEE
Firm: MOSER INC
Phone: (509) 747-0950
Units Unit Desc
1 # OF UNITS
1 SELECT
Operator: jmm Printed By: jmm
Permit Total Fees:
Print Date:
Fee Amount
$1.00
$37.00
$38.00
10/8/2010
Project Number: 10003298 Inv: ./
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/8/2010 Page 2 of 2
Notes • ,
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Mechanical Permit $38.00 $38.00 $0.00 $38.00
$38.00 $38.00 $0.00 $38.00
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: 10/8/2010