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2008, 06-27 Permit App: 08002458 Mechanical FixturesProject Number: 08002458 Inv: 1 Application Date: 6/27/2008 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: 1 FUEL BRNG APPL/ 1 AC Contact: NORTHWEST HEATING & COOLING Address: 3905 N BROOKS RD C - S - Z: MEDICAL LAKE WA 99022 Setbacks: Front Left: Right: Rear: Phone: (509) 928-8252 Group Name: Site Information: Project Name: Plat Key: Name: Range District: East Parcel Number: 45125.9165 SiteAddress: 2420 N PIONEER LN Location:: CSV Block: Lot: Zoning: 1-2 Light Industrial Water District: Area: 14.92 Acres Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Owner: Name: PARK SPE, LLC Address: 3808 N SULLIVAN RD UNIT N-15 SPOKANE, WA 99216 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Plan Review Permits: Released By: Mechanical Permit Contractor: NORTHWEST HEATING & Firm: NORTHWEST HEAATINC & COO Address: 3905 N BROOKS RD Phone: (509) 928-8252 MEDICAL LAKE WA 99022 Item Description GAS APPLIANCE >100,000BTU AIR CONDITIONER:4-15 TONS PROCESSING FEE Units Unit Desc 1 NUMBER OF 1 NUMBER OF 1 SELECT Operator: JD Printed By: JD Fee Amount $15.00 $20.00 $35.00 Permit Total Fees: $70.00 Print Date: 6/27/2008 Project Number: 08002458 Notes: Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/27/2008 Page 2 of 2 Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Mechanical Permit $70.00 $70.00 $0.00 $70.00 $70.00 $70.00 $0.00 $70.00 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: JD Printed By: JD Print Date: 6/27/2008