2003, 12-05 Permit: BLD-03-03213 Insert, Piping crr�•cu „�rlr
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.0,00Malley MECHANICAL PERMIT
11707 E. Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-03-03213
Job Address: 11317E 16TH AVE Applied: 12/05/2003
SPOKANE WA 99206-5674 Issued: 12/05/2003
Description: GAS FIREPLACE AND PIPING Expires: 06/02/2004
Subdivision: Lot: Blk: Parcel No: 45213.9239 Zoning:
Owner: KUCHIN, SERGEY V& MARINA Y
Applicant: KUCHIN, SERGEY V&MARINA Y Phone: (509)927-9576
Address: 11317E 16TH AVE
SPOKANE,WA 99206-5674
Contractor: Phone:
Address: Lic No:
General Information: Fees:
SUPPLEMENTAL PERMIT N MECHANICAL PROCESSING FEE 35.00
GAS LOG, INSERT, FIREPLACE 1 GAS LOG, INSERT, FIREPLACE 10.00
GAS PIPING (ea. OUTLET) 1 GAS PIPING 1.00
Total Calculated: 46.00
Deposits/Receipts: 46.00
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.
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Print Name Signature Date
Staff Initials
THIS IS NOT A RECEIPT