2003, 10-29 Permit: BLD-03-02926 Mechanical Fixtures Sin
ne
, Valle
l' y MECHANICAL PERMIT
11707 E.Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-03-02926
Job Address: 13122 E 12TH AVE Applied: 10/29/2003
SPOKANE WA 99216-0618 Issued: 10/29/2003
Description: GAS FURNACE,WATER HEATER,NC AND 2-PIPING Expires: 04/26/2004
Subdivision: Lot: BIk: Parcel No: Zoning:
Owner: GIBSON,TODD M&STEPHANIE J
Applicant: ALLEN'S MECHANICAL Phone: (509)235-6214
Address: 18511 S SHORT RD
CHENEY,WA 99004
Contractor: ALLEN'S MECHANICAL Phone: (509)235-6214
Address: 18511 S SHORT RD Lic No: ALLENM*044NL
CHENEY WA 99004
General Information: Fees:
SUPPLEMENTAL PERMIT N MECHANICAL PROCESSING FEE 35.00
FUEL BURNING APPL>100,000 1 FUEL BURNING APPL> 100,000 19.00
FUEL BURNING WATER HEATER 1 FUEL BURNING WATER HEATER 10.00
GAS PIPING(ea.OUTLET) 2 GAS PIPING 2.00
HEAT PUMP/AIR COND 0-3 TON 1 HEAT PUMP/AIR COND 0-3 TON 12.00
Total Calculated: 78.00
Deposits/Receipts: 78.00
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