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2003, 11-05 Permit: BLD-03-02990 Wood StovespWane 6 /,valley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address: 3804 N EDGERTON RD SPOKANE WA 99212-1801 Description: WOOD STOVE OWNER CONTRACTOR Subdivision: Owner: Applicant: Address: MECHANICAL PERMIT Permit #: Applied: Issued: Expires: Lot: Blk: Parcel No: 45063.2223 HARPER, WILLA M HARPER, WILLA M Phone: Fa"( 9cZ(-P j' 3804 N EDGERTON RD _ 1'- SPOKANE, WA 99212-1801 Contractor: Phone: Address: Lic No: BLD -03-02990 Zoning: 11/05/2003 11/05/2003 05/03/2004 General Information: SUPPLEMENTAL PERMIT WOOD OR PELLET STOVE/INSERT N 1 Fees: MECHANICAL PROCESSING FEE WOOD OR PELLET STOVE/INSERT 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 inure to the property owner. Pnnt Name Staff Initials Signature Date THIS IS NOT A RECEIPT NOV-05-03 03:51 PM T.HARPER lem.r ka tic Val ley t 'frSUR•I,t: -.:,,.n •- y, v.. 99207 c:, a..ldrnsv ::; : '! ED<;t It I ON RI) :,f• -:ANE WA Jt41l2.1901 .•ar d0fl:r 3[C E to ER CON IR.P+:1'JR MECHANICAL PERMIT 9261198 P.01 Permit #: BLD -03-02390 Applied. 11/05/2003 Issued: 11;05/2003 Expires: 05/0312004 Lot: Gik: Parcel No: 45063 2723 Zoning !:•:' :".!!I. .1 ;.1.r:•rp WI. I A `.1 Phone: Fath✓ get(' - _ 1 + N '.'i_: RTf IN NU ��__ ff Li/ANE. %'.'A 9:L2'2.1,401 Phono: Lic No: .__ auner al vitt',vitt',mdl.on Foes• ,Lti..2 r,,lFN n.: t•t Rau r N MECHANICAL PROCESSING FEE 95t06 .rn''::NSE.:T. I WOOD OR PELLET STOVEIINSERT 12 OO Total Calculated' 15.00 Deposits/Receipts: 45 9" Total Due: 3 0C ?tsctarmer. * rrl•ee w•Ales ar.rowle'dges and agrees by their signature that. 11 If this permit Is for construction of or on a dwelling. the dweAng Lsw it •.0 ,or,rd /iv pnt*ble water 71 Ownership of this City o1 Spokane Valley Permit inure to the property owner. 3) The signatory is the properly niene ,r mac. plrnlssmn L• remanent the property owner in this transaction. 4) All construction is to be done in lull compliance w:t' the ,)Cr Spokane Valet, Development Code. Referenced codes are available for review at the City 0f Spokane Valley Permit Cen:el 5; '"5 Cr,'c! *emit is int a permit or approve' for any violation of federal. Stale or lore) Taws. codes er or0lnances. U.. _ , r: rc :r ciihr'q ua •velcpin riI rights granted by any issued perme inure to the property owner ',,11 !i Ft HARPER, NOV 02 2003 15:33 Signature THIS IS NOT A RECEIPT 27-457-.413 Dab • PAGE. 01