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2004, 10-25 Permit: BLD-04-08023 Mechanical FixturesSpokane ,;OoOValley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 MECHANICAL PERMIT Permit #: BLD -04-08023 Job Address: 14905E 21ST AVE Applied: 10/25/2004 SPOKANE WA 99037-9324 Issued: 10/25/2004 Description: 1 -GAS INSERT, 1 -GAS PIPING Expires: 04/23/2005 Subdivision: Lot: Blk: Parcel No: 45261.2023 Zoning: Owner: DAVE BOLTON Applicant: FIRE WORKS Phone: (509) 979-2887 Address: 628 E BROAD AVE SPOKANE, WA 99207 Contractor: FIRE WORKS Phone: (509) 979-2887 Address: 628 E BROAD AVE Lic No: FIREW"0100T SPOKANE WA 99207 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 f federal, state or local laws, codes or ordinances. wnership of resulting developmen fights granted by any issued ermit inure t the property owner. Print Name ignature Date Staff Initials THIS IS NOT A RECEIPT