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2011, 10-18 Permit App: 11003326 Mechanical Fixture Project Number: 11003326 Inv: 1 Application Date: 10/18/2011 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: at. -*,Tys.. Permit Use: 1 FEUL BRNG APPL Contact: HOLLIDAY HEATING&REFRIG. Address: 410 N HELENA ST C-S-Z: SPOKANE,WA 99202 Setbacks:Front Left: Right: Rear: Phone: (509)838-5717 Group Name: Site Information: Project Name: Plat Key: Name: Range District: Nort Parcel Number: 35133.0402 Block: Lot: SiteAddress: 6320 E SPRINGFIELD AVE Owner:Name: LORIMOR,LARRY Address: 6328 E SPRINGFIELD AVE Location::CSV SPOKANE,WA 99212-1045 Zoning: I-2 Light Industrial Water District: 107 SPOKANE,CITY OF Hold: LI Area: 4,630 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: ��� Review Plan Review Released By: 117-/13— t I Permits: r7,1 .nm, s _.. e ,�� .rte . Nar9�x�a�- , 00 - 1,0.0M0 000; ._.,0 Mechanical Permit Contractor: HOLLIDAY HEATING& Firm: HOLLIDAY HEATING&REFRIGE Address: 410 N HELENA ST Phone: (509)838-5717 SPOKANE,WA 99202 Item Description Units Unit Desc Fee Amount GAS APPLIANCE<=100,000BTU 1 NUMBER OF $13.00 PROCESSING FEE 1 SELECT $37.00 Permit Total Fees: $50.00 Operator: JD Printed By: JD Print Date: 10/18/2011 •Project Number: 11003326 Inv: 1 Application Date: 10/18/2011 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes: S :x z al49:iY ••a ar 141 Payment Summary: W1%.aL atemez.ma om zr ®.gin. �...Y.: _ a Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Mechanical Permit $50.00 $50.00 $0.00 $50.00 $50.00 $50.00 $0.00 $50.00 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: 10/18/2011