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2004, 06-15 Permit: BLD-04-04610 Mechanical Fixtures �piokane .000 ler MECHANICAL PERMIT 11707 E.Sprague Ave., Suite 106 Spokane Valley,WA 99206 Permit#: BLD-04-04610 Job Address: 13111 E 11TH AVE Applied: 06/15/2004 SPOKANE WA 99216 Issued: 06/15/2004 Description: CHANGE-OUT GAS FURNACE,WATER HEATER AND A/C Expires: 12/12/2004 Subdivision: Lot: BIk: Parcel No: 45224.1108 Zoning: Owner: MASUDRA,ATSKO Applicant: ROCK CREEK HEATING&A/C Phone: (208)687-5540 Address: PO BOX 1032 RATHDRUM, ID 83858 Contractor: ROCK CREEK HTG AIR& REFRIG Phone: (509)283-2202 Address: PO BOX 1032 Lic No: ROCKCHA006CG RATHDRUM ID 83858 General Information: Fees: SUPPLEMENTAL PERMIT N MECHANICAL PROCESSING FEE 35.00 FUEL BURNING APPL<= 100,000 1 FUEL BURNING APPL<= 100,000 15.00 FUEL BURNING WATER HEATER 1 FUEL BURNING WATER HEATER 10.00 AIR CONDITIONER 3- 15 TON 1 AIR CONDITIONER 3- 15 TON 20.00 Total Calculated: 80.00 Deposits/Receipts: 80.00 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 pi-perry owner. ,4l s77_cpC- ' 6 - 1 Print Name l ture Date Staff Initials THIS IS NOT A RECEIPT