2004, 09-27 Permit: BLD-04-07777 Safety Inspectiontlrr eF7
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11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
MECHANICAL PERMIT
Job Address- 7009 E 5TH AVE
SPOKANE VALLEY WA 99212
Description: SAFETY INSPECTION OF EXISTING GAS FURNACE
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
WELK, BARBARA
Permit #: BLD -04-07777
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: Zoning:
WELK, BARBARA Phone: (509) 468-6580
5114 N STEVENS ST
SPOKANE, WA 99205
Phone:
Lic No:
09/27/2004
09/27/2004
03/26/2005
General Information:
SUPPLEMENTAL PERMIT
FUEL BURNING APPL <= 100,000
N
1
Fees:
MECHANICAL PROCESSING FEE
FUEL BURNING APPL <= 100,000
35.00
15.00
Total Calculated: 50.00
Deposits/Receipts: 50.00
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
Staff Initials
Signature Date
THIS IS NOT A RECEIPT