2004, 10-21 Permit: BLD-04-07999 Safety Inspection Woodstovecrrk ar �/���,,
Spokane
.0,00Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
MECHANICAL PERMIT
10815 E NIXON AVE
SPOKANE WA 99212
SAFETY INSPECTION OF EXISTING WOODSTOVE
BELLTWO LLC
Permit #:
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45163.0455
BELLTWO LLC Phone: (509) 464-2355
14704 N HAZARD RD
SPOKANE, WA 99208
Contractor: Phone:
Address: Lic No:
BLD -04-07999
Zoning:
10/21/2004
10/21/2004
04/19/2005
General Information:
SUPPLEMENTAL PERMIT
WOOD STOVE - FREE STANDING
N
1
Fees:
MECHANICAL PROCESSING FEE
WOOD STOVE - FREE STANDING
Total Calculated:
Deposits/Receipts:
Total Due:
35.00
25.00
60.00
60.00
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 issuepermit inure to the property owner.
r
Print Name Signature
Staff Initials
THIS IS NOT A RECEIPT
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Date