2003, 10-03 Permit: BLD-03-02662 Insert Valley MECHANICAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-03-02662
Job Address: 14410 E 10TH AVE Applied: 10/03/2003
VERADALE WA 99037 Issued: 10/03/2003
Description: GAS INSERT Expires: 03/31/2004
Subdivision: Lot: BIk: Parcel No: 45233.1110 Zoning:
Owner: PHILLIPS,THOMAS&DEBORAH V
Applicant: BANNER FURNACE&FUEL CO INC Phone: (509)535-1711
Address: PO BOX 4346
SPOKANE,WA 99202
Contractor: BANNER FURNACE&FUEL CO INC Phone: (509)535-1711
Address: PO BOX 4346 Lic No: BANNEFF378NT
SPOKANE WA 99202
General Information: Fees:
SUPPLEMENTAL PERMIT N MECHANICAL PROCESSING FEE 35.00
GAS LOG, INSERT, FIREPLACE 1 GAS LOG, INSERT, FIREPLACE 10.00
Total Calculated: 45.00
Deposits/Receipts: 45.00
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 Signature Date
Staff Initials
THIS IS NOT A RECEIPT