2004, 03-01 Permit: BLD-04-03645 Gas Log, Piping(:ITk tlF'
Sf nne
40,00\ialley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 215 N MCCABE RD
SPOKANE WA 99212
Description: 2 - GAS LOGS AND 2 - PIPING
MECHANICAL PERMIT
Subdivision: Lot:
Owner:
Applicant:
Address:
Contractor:
Address:
BURK, JAMES E
BURK, JAMES E
40449 SUNSET DR
LOON LAKE, WA 99147
Permit #:
Blk: Parcel No: 45154.2604
Phone:
Phone:
Lic No:
Applied:
Issued:
Expires:
BLD -04-03645
Zoning:
03/01/2004
03/01/2004
08/28/2004
General Information:
SUPPLEMENTAL PERMIT
GAS LOG, INSERT, FIREPLACE
GAS PIPING (ea. OUTLET)
N
2
2
Fees:
MECHANICAL PROCESSING FEE
GAS LOG, INSERT, FIREPLACE
GAS PIPING
Total Calculated:
Deposits/Receipts:
Total Due:
35.00
20.00
2.00
57.00
57.00
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 is7j
Print Name
Staff Initials
permit inure to the property owner.
Signature
5". -3 /4'
Date
THIS IS NOT A RECEIPT