2003, 12-11 Permit: BLD-03-03255 Water Heater Spokane
,r,, 0Valley MECHANICAL PERMIT
11707 E.Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-03-03255
Job Address: 1421 S VIRGINIA RD Applied: 12/11/2003
SPOKANE WA 99216-0533 Issued: 12/11/2003
Description: GAS WATER HEATER CHANGE OUT Expires: 06/08/2004
Subdivision: Lot: Blk: Parcel No: 45223.2214 Zoning:
Owner: BAINBRIDGE, CLARK
Applicant: GOLD SEAL SERVICE Phone: (509)535-5946
Address: 5524 E BOONE AVE
SPOKANE,WA 99212-0903
Contractor: GOLD SEAL SERVICE Phone: (509)535-5946
Address: 5524 E BOONE AVE Lic No: GOLDSS*133QS
SPOKANE WA 99212-0903
General Information: Fees:
SUPPLEMENTAL PERMIT N MECHANICAL PROCESSING FEE 35.00
FUEL BURNING WATER HEATER 1 FUEL BURNING WATER HEATER 10.00
Total Calculated: 45.00
Deposits/Receipts: 45.00
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.
'n —e Signature Date
Staff Initials
THIS IS NOT A RECEIPT