2003, 12-22 Permit: BLD-03-03325 Insert, Piping rrrt ar
Spokane
�,,,r•"�Valley MECHANICAL PERMIT
11707 E.Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-03-03325
Job Address: 11212 E 6TH AVE Applied: 12/22/2003
SPOKANE WA 99206-2801 Issued: 12/22/2003
Description: GAS INSERT AND PIPING Expires: 06/19/2004
Subdivision: Lot: Bik: Parcel No: 45212.1534 Zoning:
Owner: GIPSON,JOSEPH H &PAT J
Applicant: POLAR HEATING Phone: (099)263-200
Address: 12928 E INDIANA AVE SUITE 8
SPOKANE,WA 99216
Contractor: POLAR HEATING AND AIR Phone: (509)926-3200
Address: 12928 E INDIANA AVE SUITE 8 Lic No: POLARHA033JJ
SPOKANE WA 99216
General Information: Fees:
SUPPLEMENTAL PERMIT N MECHANICAL PROCESSING FEE 35.00
GAS LOG, INSERT, FIREPLACE 1 GAS LOG, INSERT, FIREPLACE 10.00
GAS PIPING(ea. OUTLET) 1 GAS PIPING 1.00
Total Calculated: 46.00
Deposits/Receipts: 46.00
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 . =--rty owner. /
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Print Name Signat Date
Staff Initials
THIS IS NOT A RECEIPT