2004, 02-10 Permit: BLD-04-03519 Woodstovepokane
MECHANICAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 1105 S EVERGREEN RD
SPOKANE WA 99206
Description: WOODSTOVE
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
Lot: Blk: Parcel No:
FARMER, SUSAN L
FARMER, SUSAN L Phone: (509) 624-4220
1105 S EVERGREEN RD
SPOKANE, WA 99206
AUTO -RAIN
1311 N WASHINGTON ST
SPOKANE WA 99201-2435
Phone:
Lic No:
(509) 928-5403
AUTORSI012K4
Permit #:
Applied:
Issued:
Expires:
BLD -04-03519
Zoning:
02/10/2004
02/10/2004
08/08/2004
General Information:
SUPPLEMENTAL PERMIT
WOOD STOVE - FREE STANDING
N
1
Fees:
MECHANICAL PROCESSING FEE
WOOD STOVE - FREE STANDING
Total Calculated:
Deposits/Receipts:
Total Due:
35.00
25.00
60.00
60.00
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 pro• -rty owner.
Print Name
Staff Initials
o
Signature Date
THIS IS NOT A RECEIPT