2006, 01-04 Permit App: 06000019 Piping Project Number: 06000019 Inv: 1 Application Date: 01/04/2006 Page 1 of 1
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: GAS PIPING Contact: AIR DESIGN INC
Address: 1807 E FRANCIS AVE
C-S-Z: SPOKANE WA 99207
Setbacks:Front Left: Right: Rear: Phone: (509)487-4328
Group Name:
Site Information: Project Name:
Plat Key: 999999 Name: Range District: Sout
Parcel Number: 45221.9054 Block: Lot:
SiteAddress: 13208 E 4TH AVE Owner:Name: KIRKLAND,JS
Address: 13208 E 4TH
Location::CSV SPOKANE VALLEY,WA 99216
Zoning: AGRI
Water District: Hold: ❑ 1 a0O
Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0 t �
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Mechanical Permit
Contractor: AIR DESIGN INC Firm: AIR DESIGN INC
Address: 1807 E FRANCIS AVE Phone: (509)487-4328
SPOKANE,WA 99207
Item Description Units Unit Desc Fee Amount
GAS PIPING 1 #OF UNITS $1.00
PROCESSING FEE 1 SELECT $35.00
Permit Total Fees: $36.00
Notes: . ...... °. .... „� �... .a w" ". baa- ... :'r".r."'"zm""^''
Payment Summary• .
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Mechanical Permit $36.00 $36.00 $36.00 $0.00
$36.00 $36.00 $36.00 $0.00
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: KKZ Printed By: jom Print Date: 01/04/2006