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2004, 02-18 Permit: BLD-04-03579 Gas PipingSpokane 4Val1ey 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address: 5004 N LILLIAN CT SPOKANE WA 99212 Description: GAS PIPING Subdivision: Owner: Applicant: Address: SINES, CURTIS J & AMY J MECHANICAL PERMIT Permit #: Applied: Issued: Expires: Lot: Blk: Parcel No: 46364.1207 SINES, CURTIS J & AMY J Phone: (509) 927-2738 5004 N LILLIAN CT SPOKANE, WA 99212 Contractor: Phone: Address: Lic No: BLD -04-03579 Zoning: 02/18/2004 02/18/2004 08/16/2004 General Information: SUPPLEMENTAL PERMIT GAS PIPING (ea. OUTLET) Y 1 Fees: MECHANICAL PROCESSING FEE GAS PIPING Total Calculated: Deposits/Receipts: Total Due: 7.50 1.00 8.50 8.50 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 re he property owner. Lor'..`' Print Name Staff Initials Signature THIS IS NOT A RECEIPT Date