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2004, 04-12 Permit: BLD-04-04047 Mechanical Fixtures Spokn�e . • MECHANICAL PERMIT • 11707 E.Sprague Ave.,Suite 106 Spokane Valley,WA 99206 Permit#: BLD-04-04047 Job Address: 11621 E 16TH AVE • Applied: 04/12/2004 SPOKANE.WA 99206-5413 Issued: 06/02/2004 Description:. VENT FAN, GAS UNIT HEATER,WATER HEATER&2- PIPING Expires: 11/29/2004 Subdivision: Lot: BIk: Parcel No: 45214.1413 Zoning: Owner: MANNICK,JACOB&VICTORIA R Applicant: MANNICK,JACOB&VICTORIA R Phone: (509)939-2817 Address: 11621 E 16TH AVE SPOKANE,WA 99206-5413 Contractor: Phone: . Address: • Lic No: General Information: Fees: • SUPPLEMENTAL PERMIT Y MECHANICAL PROCESSING FEE 7.50 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 VENTILATING FANS 1 VENTILATING FANS 10.00 Total Calculated: 44.50 Deposits/Receipts: 44.50 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 a.- issued per, it re to he prop- - owner. 1 -Z cJ/49k--E 4) 40/W/Ck— • 4/ Print Name Si. ature Date Staff Initials . , THIS IS NOT A RECEIPT