2003, 08-29 Permit: BLD-03-02353 Piping [�ICST..l Ilia- ne
,,_01_,,,.s Malley MECHANICAL PERMIT (1_, 2 L g7
11707 E.Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-03-02353
Job Address: 1312 N WILBUR RD Applied: 08/29/2003
SPOKANE WA 99212 Issued: 08/29/2003
Description: GAS PIPING Expires: 02/25/2004
Subdivision: Lot: Blk: Parcel No: 45161.0647 Zoning:
Owner: FORD, KENNETH L&JUDY Y
Applicant: FORD, KENNETH L&JUDY Y Phone:
Address: 26512 W CAMERON RD
CHENEY,WA 99004-9224
Contractor: Phone:
Address: Lic No:
General Information: Fees:
SUPPLEMENTAL PERMIT N MECHANICAL PROCESSING FEE 35.00
GAS PIPING(ea. OUTLET) 1 GAS PIPING 1.00
Total Calculated: 36.00
Deposits/Receipts: 36.00
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.
Print Name Signature Date
Staff Initials
THIS IS NOT A RECEIPT