2012, 02-14 Permit App: 12000324 Piping, Ranges Project Number: 12000324 Inv: 1 Application Date: 2/14/2012 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 3 GAS PIPING/3 RANGES Contact: A&M QUALITY HEATING
Address: 12718 E INDIANA AVE
C-S-Z: SPOKANE WA 99216
Setbacks:Front Left: Right: Rear: Phone: (509)928-2100
Group Name:
Site Information: Project Name:
`*.. i .i Illi ii i4Q➢�tl iwii� ti Fes"'"< -." - v-u._ _w� o iuu wuioiioni a .�«,o, lieu oi�rt.,re� -...... t�" ;�- -� 4"" �, ... s"
Plat Key: Name: Range District: Nort
Parcel Number: 45174.2102 Block: Lot:
SiteAddress: 503 N WALNUT ST Owner:Name: ST JOHN VIANNEY CATHOLIC P
Address: PO BOX 141125
Location::CSV SPOKANE,WA 99214-1125
Zoning: LDR Low Density Residential
Water District: 011 MODERN Hold: ❑
Area: 83,535 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: r .,, 61 iii0pi�@ — v
Review
Plan Review Released By: ,,,f� C`6'
2- !A EZ.
Mechanical Permit
Contractor: A&M QUALITY HEATING Firm: A&M QUALITY HEATING&ELE
Address: 12710 E INDIANA AVE Phone: (509)928-2100
SPOKANE,WA 99216
Item Description Units Unit Desc Fee Amount
GAS PIPING 3 #OF UNITS $3.00
RANGE 3 NUMBER OF $30.00
PROCESSING FEE 1 SELECT $37.00
Permit Total Fees: $70.00
Operator: JD Printed By: JD Print Date: 2/14/2012
Project Number: 12000324 Inv: 1 Application Date: 2/14/2012 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes: -4 u��n ., .wn „ m. ��,���,� �� �� t
Payment Summa `i n. eY „a1-0.2 IIIiI10111NMi .+" „ udiiilllliiiili181111 —. u 7ip'i o = =222-22S irtl6
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Mechanical Permit $70.00 $70.00 $0.00 $70.00
$70.00 $70.00 $0.00 $70.00
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: 2/14/2012