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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