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2010, 12-14 Permit App: 10004021 Water Heater Project Number: 10004021 Inv: 1 Application Date: 12/14/2010 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: 1 GAS WTR HTR/1 GAS WTR HTR Contact: DIVCO INC Address: 715 N MADELIA C-S-Z: SPOKANE,WA 99202 Setbacks:Front Left: Right: Rear: Phone: (509)534-7225 Group Name: Site Information: Project Name: 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 In ormation: ten, �w e Review Plan Review Released By7 d fq ..1 Mechanical Permit Contractor: DIVCON INC Firm: DIVCON INC Address: 12609 E PINECROFT WAY Phone: (509)466-8900 SPOKANE VALLEY WA 99216 Item Description Units Unit Desc Fee Amount GAS WATER HEATER 1 NUMBER OF $11.00 GAS PIPING 1 #OF UNITS $1.00 PROCESSING FEE 1 SELECT $37.00 Permit Total Fees: $49.00 Operator: JD Printed By: JD Print Date: 12/14/2010 Project Number: 10004021 Inv: 1 Application Date: 12/14/2010 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes: al: irc dF,.Va.. wn ara x ;s� ,_._. N #•f AG ii =' . Payment Summary Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Mechanical Permit $49.00 $49.00 $0.00 $49.00 $49.00 $49.00 $0.00 $49.00 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: 12/14/2010