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2007, 10-16 Permit App: 07004150 Mechanical FixturesProject Number: 07004150 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/16/2007 Page 1 of 2 Project Information: Permit Use: 1 FUEL BANG APPL Contact: ACI Address: 6600 N GOVERNMENT WAY C - S - Z: COEURD ALFNE, ID 83815 Setbacks: Front Left: Right: Rear: Phone: (208) 772-9571 Group Name: Site Information: Project Name: Plat Key: 000323 Name: CARNHOPE ADD District: Sout Parcel Number: 35232.4106 SiteAddress: 4317 E 7111 AVE Location:: CSV Block: Lot: Zoning: UR -3.5 Urban Residential 3.5 Water District: 003 CARNHOPE Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Owner: Name: GLAD TIDINGS ASSEMBLY OF G Address: 4317 E 7T11 AVE SPOKANE, WA 99212 Hold: ❑ Review Plan Review Permits: MechanicalPermit Contractor: ACI Firm: ACI Address: 6600 N GOVERNMENT WAY Phone: COEUR D ALENE ID 83815 Item Description GAS APPLIANCE<=100,000BTU PROCESSING FEE Units Unit Desc 1 NUMBER OF 1 SELECT (208) 777-8013 Fee Amount $12.00 $35.00 Permit Total Fees: $47.00 Operator: JD Printed By: JD Print Date: 10/16/2007 ,.• Project Number: 07004150 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/16/2007 Page 2 of 2 Notes: Payment Summary: Pemtit Type Fee Amount Invoice Amount Amount Paid Amount Owing Mechanical Permit $47.00 $47.00 $0.00 $47.00 $47.00 $47.00 $0.00 $47.00 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: JD Printed By: JD Print Date: 10/16/2007