2004, 03-03 Permit: BLD-04-03676 Insert 011.1"4.14114
Spokane
40,0 Valley MECHANICAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-03676
Job Address: 9619 E 43RD AVE Applied: 03/03/2004
SPOKANE WA 99206 Issued: 03/03/2004
Description: GAS FIRE PLACE Expires: 08/30/2004
Subdivision: Lot: Blk: Parcel No: 45323.0108 Zoning:
45323.0110
Owner: HOOPER,JASON & DANIELLE
Applicant: HURLIMAN HEATING&NC INC Phone: (509)891-5110
Address: 515 S DISHMAN MICA RD
SPOKANE,WA 99206
Contractor: HURLIMAN HEATING&NC INC Phone: (509)891-5110
Address: 515 S DISHMAN MICA RD Lic No: HURLIHA051D4
SPOKANE WA 99206
General Information: Fees:
SUPPLEMENTAL PERMIT N MECHANICAL PROCESSING FEE 35.00
GAS LOG, INSERT, FIREPLACE 1 GAS LOG, INSERT, FIREPLACE 10.00
Total Calculated: 45.00
Deposits/Receipts: 45.00
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.
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Print N Signature D e
'ials
THIS IS NOT A RECEIPT