2004, 04-19 Permit: BLD-04-04119 AC Spokane
MECHANICAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-04119
Job Address: 9916 E 14TH AVE Applied: 04/19/2004
SPOKANE VALLEY WA 99206 Issued: 04/19/2004
Description: INSTALL AIR CONDITIONER Expires: 10/16/2004
Subdivision: Lot: Blk: Parcel No: Zoning:
Owner: GREEN JR, RONALD K/VANDINE,AL
Applicant: GREEN JR, RONALD K/VANDINE,AL Phone:
Address: 9916E 14TH AVE
SPOKANE VALLEY,WA 99206
Contractor: Phone:
Address: Lic No:
General Information: Fees:
SUPPLEMENTAL PERMIT N MECHANICAL PROCESSING FEE 35.00
HEAT PUMP/AIR COND 0-3 TON 1 HEAT PUMP/AIR COND 0-3 TON 12.00
Total Calculated: 47.00
Deposits/Receipts: 47.00
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 perty owner.
2v C? {� �-� Mr/
Print Name Signature Date
Staff Initials
THIS IS NOT A RECEIPT