2004, 07-09 Permit: BLD-04-07042 AC tITV C4F � ,
lSiier ane
.0,00Valley MECHANICAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-07042
Job Address: 10716 E 28TH AVE Applied: 07/09/2004
SPOKANE WA 99206-5809 Issued: 07/09/2004
Description: INSTALL AIR CONDITIONER Expires: 01/05/2005
Subdivision: Lot: Blk: Parcel No: 45283.4411 Zoning:
Owner: SCHAEFER,J H
Applicant: STOREY HEATING Phone: (509)534-8464
Address: 4616 E 16TH AVE
SPOKANE,WA 99212
Contractor: STOREY HEATING Phone: (509)534-8464
Address: 4616 E 16TH AVE Lic No: STOREHA021 C5
SPOKANE WA 99212
General Information: Fees:
SUPPLEMENTAL PERMIT N MECHANICAL PROCESSING FEE 35.00
HEAT PUMP/AIR COND 0-3 TON 1 HEAT PUMP/AIR COND 0-3 TON 12.00
Total Calculated: 47.00
Deposits/Receipts: 47.00
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 fe.. al,state or local laws,codes or ordinances.
Ownership of resulting development rights granted by any issued it inure to the p�•e;, •, •_ .
AIVALJA.ArAti /.411 (.----, • # /7
Print Name 47atur- V f % '''1. Date
Staff Initials
THIS IS NOT A RECEIP