2004, 03-10 Permit: BLD-04-03735 Furnace CITk UF79911�� ,ne
SP CIIMille
MECHANICAL PERMIT
11707 E. Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-03735
Job Address: 15902 E 16TH AVE Applied: 03/10/2004
VERADALE WA 99037-9240 Issued: 03/10/2004
Description: GAS FURNACE CHANGE-OUT Expires: 09/06/2004
Subdivision: Lot: Blk: Parcel No: 45252.4702 Zoning:
Owner: CHAVEZ,JAMES J&STARLENE R
Applicant: CHAVEZ,JAMES J&STARLENE R Phone: (509)922-2207
Address: 15902E 16TH AVE
VERADALE,WA 99037-9240
Contractor: Phone:
Address: Lic No:
General Information: Fees:
SUPPLEMENTAL PERMIT N MECHANICAL PROCESSING FEE 35.00
FUEL BURNING APPL<= 100,000 1 FUEL BURNING APPL<= 100,000 15.00
Total Calculated: 50.00
Deposits/Receipts: 50.00
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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THIS IS NOT A RECEIPT