2004, 05-18 Permit: BLD-04-04387 Insert, Piping Siiokane
.000Milley MECHANICAL PERMIT j /) C1c1
11707 E. Sprague Ave., Suite 106 l/ „�
Spokane Valley,WA 99206 Permit#: BLD-04-04387
Job Address: 1117 N WOODRUFF RD Applied: 05/18/2004
SPOKANE WA 99206-3969 Issued: 05/18/2004
Description: GAS FIREPLACE AND PIPING Expires: 11/14/2004
Subdivision: Lot: BIk: Parcel No: 45172.1301 Zoning:
Owner: BARLOW,TOM
Applicant: BARLOW,TOM Phone: (509)245-3314
Address: 1316 E SMYTHE RD
SPANGLE,WA 99031
Contractor: Phone:
Address: Lic No:
General Information: Fees:
SUPPLEMENTAL PERMIT Y MECHANICAL PROCESSING FEE 7.50
GAS LOG, INSERT, FIREPLACE 1 GAS LOG, INSERT, FIREPLACE 10.00
GAS PIPING(ea.OUTLET) 1 GAS PIPING 1.00
Total Calculated: 18.50
Deposits/Receipts: 18.50
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