2004, 09-29 Permit: BLD-04-07801 Mechanical Fixtures' Or
Spf'IT4okane
,00irvalley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 14911 E 17TH CT
VERADALE WA
Description: 1 -GAS INSERT
Subdivision:
Owner:
JIFF & DEBBIE WIESEN
Applicant: FIRE WORKS
Address: 628 E BROAD AVE
SPOKANE, WA 99207
Contractor: FIRE WORKS
Address: 628 E BROAD AVE
SPOKANE WA 99207
MECHANICAL PERMIT
Lot:
Blk: Parcel No:
Phone: (509) 979-2887
Phone: (509) 979-2887
Lic No: FIREW**0100T
Permit #:
Applied:
Issued:
Expires:
BLD -04-07801
Zoning:
09/29/2004
09/29/2004
03/28/2005
General Information:
SUPPLEMENTAL PERMIT
GAS LOG, INSERT, FIREPLACE
GAS PIPING (ea. OUTLET)
N
1
1
Fees:
MECHANICAL PROCESSING FEE
GAS LOG, INSERT, FIREPLACE
GAS PIPING
Total Calculated:
Deposits/Receipts:
Total Due:
35.00
10.00
1.00
46.00
46.00
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 right granted by any issued p rmit inure to the
owner.
Name ignature
Staff Initials
THIS IS NOT A RECEIPT
Date