2003, 07-17 Permit: BLD-03-02040 Water Heater0111111°. \111111110111ft,
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Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
MECHANICAL - RESIDENTIAL
Job Address: 3402 S LORETTA DR
SPOKANE WA 99206-5970
Description: REPLACE GAS WATER HEATER
Subdivision: Lot No:
Owner:
Applicant:
Address:
Contractor:
Address:
CLACY, PATRICIA K
BEST WATER HEATER Phone: (509) 684-4357
1163 ARDEN WAY
COLVILLE, WA 99114
BEST WATER HEATER
1163 ARDEN WAY
COLVILLE WA 99114
Phone:
Lic No:
(509) 684-4357
BESTWH*035R3
Permit #: BLD -03-02040
Applied: 07/17/2003
Issued: 07/17/2003
Expires: 01/13/2004
General Information:
SUPPLEMENTAL PERMIT
FUEL BURNING WATER HEATER
N
1
Fees:
MECHANICAL PROCESSING FEE
FUEL BURNING WATER HEATER
Total Calculated:
Deposits/Receipts:
Total Due:
35.00
10.00
45.00
45.00
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 goveming 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 issu - . perm' ure to t property owner.
Date Counter Approval
Applicant
Please print name here