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2010, 12-08 Permit App: 10003987 Mechanical Fixtures Project Number: 10003987 Inv: 1 Application Date: 12/8/2010 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: aas Permit Use: 1 FURNACE,1 VENT&EXHAUST Contact: KTU OF SPOKANE Address: PO BOX 28899 C-S-Z: SPOKANE WA 99218 Setbacks:Front Left: Right: Rear: Phone: (509)467-4000 Group Name: Site Information: Project Name: BERG Plat Key: 005608 Name: BSP-0022-88 District: East Parcel Number: 45122.9176 Block: Lot: SiteAddress: 16124 E EUCLID AVE Owner:Name: ABC GROUP,L.L.C. Address: 16124 E EUCLID AVE Location::CSV SPOKANE VALLEY,WA 99216 Zoning: I-2 Light Industrial Water District: 028 SPOKANE IND PARK Hold: ❑ Area: 109,766 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 60 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: -w .. .. _ ri _ _ Review Plan ReviewReleased By: Mechanical Permit — Contractor: KTU OF SPOKANE INC Firm: K T U OF SPOKANE Address: PO BOX 28899 Phone: (509)467-4000 SPOKANE,WA 99228-8899 Item Description Units Unit Desc Fee Amount GAS APPLIANCE>100,000BTU 1 NUMBER OF $16.00 VENTILATING FANS 1 DUCT 1 NUMBER OF $11.00 PROCESSING FEE 1 SELECT $37.00 Permit Total Fees: $64.00 Operator: jmm Printed By: jmm Print Date: 12/8/2010 Project Number: 10003987 Inv: 1 Application Date: 12/8/2010 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Mechanical Permit $64.00 $64.00 $0.00 $64.00 $64.00 $64.00 $0.00 $64.00 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: jmm Printed By: jmm Print Date: 12/8/2010