2004, 09-13 Permit: BLD-04-07636 Insert, Piping Spo°�l�a�e
.00.0Valley MECHANICAL PERMIT
11707 E.Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-07636
Job Address: 16515 E 23RD AVE Applied: 09/13/2004
SPOKANE WA 99216 Issued: 09/13/2004
Description: 1-GAS LOG/INSERT/FIREPLACE, 1-GAS PIPING Expires: 03/12/2005
Subdivision: Lot: Blk: Parcel No: 45251.0802 Zoning:
Owner: JENSON, DENNIS&REBECCA
Applicant: SPOKANE FIREPLACE&PATIO Phone: (509)326-7388
Address: 27 W BOONE AVE
SPOKANE,WA 99201
Contractor: SPOKANE FIREPLACE&PATIO Phone: (509)326-7388
Address: 27 W BOONE AVE Lic No: SPOKAFP033KL
SPOKANE WA 99201
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.
((7 to
Pr4:6•01124Signature Date
Staff Initials
THIS IS NOT A RECEIPT