2003, 11-07 Permit: BLD-03-03026 Pellet Stove*Oka'
.0001,7alley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 218 N MAMER RD
SPOKANE WA 99216
Description: PELLET STOVE INSERT
Subdivision:
Owner:
Applicant:
Address:
DALTON, ROERT J & JULIE A
MECHANICAL PERMIT
Permit #:
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45154.4103
DALTON, ROERT J & JULIE A Phone: (509) 892-1694
218 N MAMER RD
SPOKANE, WA 99216
Contractor: Phone:
Address: Lic No:
BLD -03-03026
Zoning:
11/07/2003
11/07/2003
05/05/2004
General Information:
SUPPLEMENTAL PERMIT
WOOD OR PELLET STOVE/INSERT
N
1
Fees:
MECHANICAL PROCESSING FEE
WOOD OR PELLET STOVE/INSERT
Total Calculated:
Deposits/Receipts:
Total Due:
35.00
10.00
45.00
45.00
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 prmit inure to the property owner.
///7/cj
Signature Date
!0 & vALre
Print Name
Staff Initials
THIS IS NOT A RECEIPT