2003, 10-07 Permit: BLD-03-02707 Mechanical FixturesDisclaimer.-
The
isclaimer.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
flO�-
Date
i. . A
Signature
1^swl�
Spokane
THIS IS NOT A RECEIPT
,�,SVa11ey
MECHANICAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Permit #: BLD
-03-02707
Job Address: 11123E 34TH AVE
Applied:
10/07/2003
SPOKANE WA 99206-5952
Issued:
10/07/2003
Description: GAS FURNACE, A/C AND PIPING
Expires:
04/04/2004
Subdivision:
Lot: Blk: Parcel No: 45332.0716 Zoning:
Owner: HARRIS, DELMAR L
Applicant: R & R HEATING & A/C INC
Phone: (509) 484-1405
Address: 4019 E CENTRAL AVE
SPOKANE, WA 99217
Contractor: R & R HEATING & A/C INC
Phone: (509) 484-1405
Address: 4019 E CENTRAL AVE
Lic No: RRHEAA*106BW
SPOKANE WA 99217
General Information:
Fees:
SUPPLEMENTAL PERMIT
N
MECHANICAL PROCESSING FEE
35.00
FUEL BURNING APPL <= 100,000
1
FUEL BURNING APPL <= 100,000
15.00
GAS PIPING (ea. OUTLET)
1
GAS PIPING
1.00
HEAT PUMP/AIR COND 0 - 3 TON
1
HEAT PUMP/AIR COND 0 - 3 TON
12.00
Total Calculated:
63.00
Deposits/Receipts:
63.00
Total Due:
0.00
Disclaimer.-
The
isclaimer.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
flO�-
Date
Print ame
Signature
Staff Initials
THIS IS NOT A RECEIPT