2004, 05-17 Permit: BLD-04-04377 Mechanical Fixtures CITY GF �M�
Spokane
MECHANICAL PERMIT
11707 E.Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-04377
Job Address: 6021 E 19TH AVE Applied: 05/17/2004
SPOKANE WA 99212 Issued: 05/17/2004
Description: GAS WATER HEATER Expires: 11/13/2004
Subdivision: Lot: Blk: Parcel No: Zoning:
Owner: DAVE STASKA
Applicant: BEST WATER HEATER Phone: (509)684-4357
Address: 1163 ARDEN WAY
COLVILLE,WA 99114
Contractor: BEST WATER HEATER Phone: (509)684-4357
Address: 1163 ARDEN WAY Lic No: BESTWH*035R3
COLVILLE WA 99114
General Information: Fees:
SUPPLEMENTAL PERMIT N MECHANICAL PROCESSING FEE 35.00
FUEL BURNING WATER HEATER 1 FUEL BURNING WATER HEATER 10.00
Total Calculated: 45.00
Deposits/Receipts: 45.00
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