2004, 06-14 Permit: BLD-04-04609 Furnacesi ► i ane
.0,00Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 318 S GREENACRES RD
GREENACRES WA 99016-9717
Description: GAS FURNACE CHANGE -OUT
Subdivision:
Owner:
Applicant:
Address:
SCHULTZ, STEVEN
MECHANICAL PERMIT
Permit #: BLD -04-04609
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 55191.0418 Zoning:
SCHULTZ, STEVEN Phone: (509) 926-6622
318 S GREENACRES RD
GREENACRES, WA 99016-9717
Contractor: Phone:
Address: Lic No:
06/14/2004
06/14/2004
12/11/2004
General Information:
SUPPLEMENTAL PERMIT
FUEL BURNING APPL <= 100,000
N
1
Fees:
MECHANICAL PROCESSING FEE
FUEL BURNING APPL <= 100,000
Total Calculated:
Deposits/Receipts:
Total Due:
35.00
15.00
50.00
50.00
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 inyre to th foperty owner.
Print Name : g :ture
Staff Initials
THIS IS NOT A RECEIPT
Date