2003, 11-26 Permit: BLD-03-03163 Mechanical Fixtures or +/ �
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.0000Val1ey MECHANICAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-03-03163
Job Address: 16220 E RICH AVE Applied: 11/26/2003
SPOKANE WA 99212 Issued: 11/26/2003
Description: GAS FURNACE,WATER HEATER AND 2-PIPING Expires: 05/24/2004
Subdivision: Lot: Blk: Parcel No: 45012.2712 Zoning:
Owner: EDLIN, EARLENE A
Applicant: A& M QUALITY HTG&ELEC INC Phone: (509)575-0797
Address: 12718 E INDIANA AVE
SPOKANE,WA 99212
Contractor: A& M QUALITY HTG& ELEC INC Phone: (509)575-0797
Address: 12718 E INDIANA AVE Lic No: AMQUAHE193N1
SPOKANE WA 99212
General Information: Fees:
SUPPLEMENTAL PERMIT N MECHANICAL PROCESSING FEE 35.00
FUEL BURNING APPL<= 100,000 1 FUEL BURNING APPL<= 100,000 15.00
FUEL BURNING WATER HEATER 1 FUEL BURNING WATER HEATER 10.00
GAS PIPING(ea. OUTLET) 2 GAS PIPING 2.00
Total Calculated: 62.00
Deposits/Receipts: 62.00
Total Due: 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.
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Print rhe Signature Date
Staff Initials
THIS IS NOT A RECEIPT