2004, 09-28 Permit: BLD-04-07783 Piping p ►Al ill
�'''� ey MECHANICAL PERMIT
11707 E.Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-07783
Job Address: 6820 E 4TH AVE Applied: 09/28/2004
SPOKANE VALLEY WA 99212 Issued: 09/28/2004
Description: GAS PIPING AIR TEST Expires: 03/27/2005
Subdivision: Lot: Blk: Parcel No: Zoning:
Owner: FELTON, DENNIS
Applicant: AIR CORPS MECHANICAL Phone:
Address: 3714 E PRINCETON
SPOKANE,WA 99217
Contractor: AIR CORPS MECHANICAL Phone: (509)489-5315
Address: 3714 E PRINCETON Lic No: AIRCOCM967LH
SPOKANE WA 99217
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 e pr. -• owner.
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Print Name Signature Date
Staff Initials
THIS IS NOT A RECEIPT