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2003, 08-15 Permit: BLD-03-02238 Mechanical FixturesSpokane `, 0Valley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address: Description: Subdivision: Owner: Applicant: Address: Contractor: Address: 1908 S EVERGREEN RD VERADALE WA MECHANICAL PERMIT FURNACE, AIR CONDITIONER AND PIPING CZERWONKA, GEORGE & SHARON A & M QUALITY HTG & ELEC INC 12718 E INDIANA AVE SPOKANE, WA 99212 A & M QUALITY HTG & ELEC INC 12718 E INDIANA AVE SPOKANE WA 99212 Lot: Bik: Parcel No: Phone: (509) 575-0797 Phone: Lic No: (509) 575-0797 AMQUAHE193N1 Permit #: Applied: Issued: Expires: BLD -03-02238 Zoning: 08/15/2003 08/1512003 02/11/2004 General Information: SUPPLEMENTAL PERMIT FUEL BURNING APPL <= 100,000 GAS PIPING (ea. OUTLET) HEAT PUMP/AIR COND 0 - 3 TON N 1 1 1 Fees: HEAT PUMP/AIR COND 0 - 3 TON MECHANICAL PROCESSING FEE FUEL BURNING APPL <= 100,000 GAS PIPING Total Calculated: Deposits/Receipts: Total Due: 12.00 35.00 15.00 1.00 63.00 63.00 0.00 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 in compliance. 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. Ownership of resulting development rights granted by any issued permit inure to the property owner Applicant Please print name here Date Counter Approval THIS IS NOT A RECEIPT