2004, 10-25 Permit: BLD-04-08022 Mechanical Fixtures Spokane "`
4000,Valley MECHANICAL PERMIT
11707 E.Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-08022
Job Address: 415 N SKIPWORTH RD Applied: 10/25/2004
SPOKANE WA 99206-5037 Issued: 10/25/2004
Description: 1-FUEL BURNING APPLIANCE(<1=100,000), 1-GAS PIPING, 1-HEAT PUMP/AIR Expires: 04/23/2005
CONDITIONER(0-3 TON)
Subdivision: Lot: BIk: Parcel No: 45163.0257 Zoning:
Owner: TERRI JACOBS
Applicant: COUGAR MECHANICAL INC Phone: (509)484-6420
Address: PO BOX 6427
SPOKANE,WA 99217
Contractor: COUGAR MECHANICAL INC Phone: (509)484-6420
Address: PO BOX 6427 Lic No: COUGAMI005PT
SPOKANE WA 99217
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) 1 GAS PIPING 1.00
HEAT PUMP/AIR COND 0-3 TON 1 HEAT PUMP/AIR COND 0-3 TON 12.00
Total Calculated: 63.00
Deposits/Receipts: 63.00
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.
laTLOy
Pr'• Signature Date
S a' als
THIS IS NOT A RECEIPT