2004, 09-24 Permit: BLD-04-07757 Gas Pipingrkane
Spo
, _. 0Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 18008 E MONTGOMERY AVE
GREENACRES WA 99016-9306
Description: 1 -GAS PIPING
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
ANDERSON, MARK
MECHANICAL PERMIT
Permit #: BLD -04-07757
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 55074.3102 Zoning:
ANDERSON, MARK Phone: (509) 979-5151
18008 E MONTGOMERY AVE
GREENACRES, WA 99016-9306
Phone:
Lic No:
09/24/2004
09/24/2004
03/23/2005
General Information:
SUPPLEMENTAL PERMIT
GAS PIPING (ea. OUTLET)
N
1
Fees:
MECHANICAL PROCESSING FEE
GAS PIPING
Total Calculated:
Deposits/Receipts:
Total Due:
35.00
1.00
36.00
36.00
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 tome property owner.
Print Name
Staff Initials
Signature
THIS IS NOT A RECEIPT
(7/21/
Date
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