2004, 03-19 Permit: BLD-04-03826 Furnace, Pipingft.,
SOlane
0 Mille
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
15209 E UPLAND DR
SPOKANE WA 99216-2608
FURNACE & PIPING
CONTRACTOR TBD
BLAKESLEY, CURTIS
MECHANICAL PERMIT
Permit #: BLD -04-03826
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45021.5504 Zoning:
BLAKESLEY, CURTIS Phone:
15209 E UPLAND DR
SPOKANE, WA 99216-2608
Phone:
Lic No:
03/19/2004
03/19/2004
09/15/2004
General Information:
SUPPLEMENTAL PERMIT
FUEL BURNING APPL <= 100,000
GAS PIPING (ea. OUTLET)
N
1
1
Fees:
MECHANICAL PROCESSING FEE
FUEL BURNING APPL <= 100,000
GAS PIPING
Total Calculated:
Deposits/Receipts:
Total Due:
35.00
15.00
1.00
51.00
51.00
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.
Print Name Signature
Le- eLn/«511-1'
Staff Initials
THIS IS NOT A RECEIPT
Date