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2004, 11-04 Permit: 04009015 Furnace, Piping City of Spokane Valley Site Information Project Information Site Address: 1714 S OBERLIN RD Project Number: 04009015 Inv: I Issue Date: 11/04/2004 Permit Use: FURNACE&2 GAS PIPING Parcel Number. 45291.0210 Subdivision: Applicant: TIUKAENKO,SLAVIC Block: Lot: 1714 S OBERLIN RD Zoning: AGS SPOKANE,WA 99206 Phone: (509)995-2793 Contact: TIUKAENKO,SLAVIC Owner: TIUKAENKO,SLAVIC 1714 S OBERLIN RD Address: 1714 S OBERLIN RD SPOKANE,WA 99206 Phone: (509)995-2793 SPOKANE,WA 99206 Setbacks-Front: Left: Right: Rear: Building Inspector. KEVIN MYRE Water Dist: Group Name: Project Name: Permits Mechanical Permit Contractor: OWNER License#: OWNER GAS APPLIANCE>100,000BTU 1 $19.00 GAS PIPING 2 $2.00 SUPPLEMENTAL PERMIT $7.50 Total Permit Fee: $28.50 FOR MECHANICAL INSPECTIONS CALL(509)688-0054. Payment Summary Total Fees AmountPaid AmountOwing Tran Date Receipt# Payment Amt $28.50 $28.50 $0.00 11/04/2004 5855 $28.50 Processed By: DOMPIER,DAWN PERMIT Printed By: DOMPIER,DAWN Page I of 1