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2006, 03-08 Permit App: 06000725 Fireplace, PipingProject Number: 06000725 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 3/8/2006 Page 1 of 2 Project Information: Permit Use: 1 GAS FIREPLACE, 1 GAS PIPING Setbacks: Front Left: Right: Rear: Site Information: Plat Key: 000986 Name: GILLINGHAMS SUB Contact: RON MORRIS HEATING & A/C Address: 1922 E HOUSTON C - S - Z: SPOKANE WA 99217 Phone: (509) 487-5058 Group Name: Project Name: District: F Parcel Number: 45162.1084 Block: SiteAddress: 10921 E MALLON AVE Location:: CSV Zoning: UR -3.5 Urban Residential 3.5 Water District: Area: .00 Acres Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Lot: Owner: Name: PARKINS, ERVIN Address: 10921 E MALLON AVE SPOKANE VALLEY, WA 99206 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Plan Review Permits: Releas Contractor: RON MORRIS HEATING & A/C Address: 1922 E HOUSTON SPOKANE, WA 99207 Item Description GAS PIPING GAS LOG OR GAS INSERT PROCESSING FEE Mechanical Permit Firm: RON MORRIS HEATING & A/C Phone: (509) 487-5058 Units Unit Desc 1 # OF UNITS 1 NUMBER OF 1 SELECT Operator: jmm Printed By: jmm Permit Total Fees: Fee Amount $1.00 $10.00 $35.00 $46.00 Print Date: 3/8/2006 Project Number: 06000725 Inv: 1 Notes: Application Date: 3/8/2006 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary: Permit Type Mechanical Permit Fee Amount Invoice Amount Amount Paid Amount Owing $46.00 $46.00 $0.00 $46.00 $46.00 $46.00 $0.00 $46.00 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 governing this type of work will be complied with. 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. Signature: Operator: jmm Printed By: jmm Print Date: 3/8/2006