2003, 10-29 Permit: BLD-03-02939 Furnace, Pipingoe
Spbkan`' e
Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 203 N MCDONALD RD
SPOKANE WA 99212
Description: GAS FURNACE AND PIPING
(OWNER IS CONTRACTOR)
Subdivision:
Owner:
Applicant:
Address:
MILLER, MITCHELL W
MECHANICAL PERMIT
Permit #:
Applied:
Issued:
Expires:
BLD -03-02939
Lot: Blk: Parcel No: 45153.2502 Zoning:
MILLER, MITCHELL W Phone: (509) 891-2725
18424 E MAXWELL
GREENACRES, WA 99016
Contractor: Phone:
Address: Lic No:
10/29/2003
10/29/2003
04/26/2004
General Information:
SUPPLEMENTAL PERMIT
FUEL BURNING APPL>100,000
GAS PIPING (ea. OUTLET)
N
1
1
Fees:
MECHANICAL PROCESSING FEE
FUEL BURNING APPL > 100,000
GAS PIPING
Total Calculated:
Deposits/Receipts:
Total Due:
35.00
19.00
1.00
55.00
55.00
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 permit inure to the property owner.
Print Name Signature
Staff Initials
THIS IS NOT A RECEIPT
Date