2003, 12-09 Permit: BLD-03-03235 Furnace, Piping SCITY
4000"' Valley MECHANICAL PERMIT
11707 E. Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-03-03235
Job Address: 3107 S SKIPWORTH RD Applied: 12/09/2003
SPOKANE WA 99212 Issued: 12/09/2003
Description: GAS FURNACE AND PIPING Expires: 06/06/2004
Subdivision: Lot: Blk: Parcel No: 45283.5607 Zoning:
Owner: SHIVA, KON
Applicant: TLC CENTRAL AIR&HEATING SYS Phone: (509)868-4869
Address: 534 E LACROSSE AVE
SPOKANE,WA 99207
Contractor: TLC CENTRAL AIR&HEATING SYS Phone: (509)868-4869
Address: 534 E LACROSSE AVE Lic No: TLCCECA971 LT
SPOKANE WA 99207
General Information: Fees:
SUPPLEMENTAL PERMIT N MECHANICAL PROCESSING FEE 35.00
FUEL BURNING APPL<= 100,000 1 FUEL BURNING APPL<= 100,000 15.00
GAS PIPING(ea.OUTLET) 2 GAS PIPING 2.00
Total Calculated: 52.00
Deposits/Receipts: 52.00
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 Name Signature Date
Staff Initials
THIS IS NOT A RECEIPT