2004, 01-12 Permit: BLD-04-03395 FurnaceSpokane
� FMilley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address• 11917E MAIN AVE
SPOKANE WA 99212
Description: GAS FURNACE REPLACEMENT
Subdivision:
Owner:
Applicant:
Address:
SHAFFER, ALICE
MECHANICAL PERMIT
Permit #:
Applied:
Issued:
Expires:
BLD -04-03395
01/12/2004
01/12/2004
07/10/2004
Lot: Blk: Parcel No: 45164.0324 Zoning:
SHAFFER, ALICE Phone:
11917 E MAIN AVE
SPOKANE, WA 99212
Contractor: Phone:
Address: Lic No:
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 venfies, 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 inure to the property goner.
i/.z/e"/
Print Name Signature / Date
Staff Initials
THIS IS NOT A RECEIPT