2004, 07-02 Permit: BLD-04-07014 Mechanical Fixtures Spokane
.0,00Valley MECHANICAL PERMIT
11707 E. Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-07014
Job Address: 15609 E 11TH AVE Applied: 07/02/2004
VERADALE WA 99037-9221 Issued: 07/02/2004
Description: GAS UNIT HEATER,WATER HEATER AND(2)GAS PIPING TO SHOP Expires: 12/29/2004
Subdivision: Lot: Blk: Parcel No: 45243.0103 Zoning:
Owner: WIXOM, BILL R
Applicant: M T M CONTRACTORS Phone: (509)534-2042
Address: 24 N STONE ST
SPOKANE,WA 99205
Contractor: M T M CONTRACTORS INC Phone: (509)534-2042
Address: 24 N STONE ST Lic No: MTMCOI*041 D5
SPOKANE WA 99205
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
GAS PIPING(ea. OUTLET) 2 GAS PIPING 2.00
Total Calculated: 62.00
Deposits/Receipts: 62.00
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 ermit inure t the pro erty owner. )/2/6,q
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Print Name Signature Date
Staff Initials
THIS IS NOT A RECEIPT