2006, 12-21 Permit App: 06004921 Gas ApplianceProject Number: 06004921 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: 1 FUEL BURNING APPLIANCE Contact: COEUR D'ALENE SHEET METAL
Address: 4918 W GOVERNMENT WAY
C - S - Z: COEUR D'ALENE ID 83815
Setbacks: Front Left: Right: Rear: Phone: (208) 664-4114
Group Name:
Site Information:
Project Name:
Date: 12/21/2006 Page 1 of 2
Plat Key: Name: Range
Parcel Number: 45073.2007 I3lock:
SiteAddress: 2303 N CENTER RD
Location:: CSV
District: Nort
Lot:
Owner: Name: STROH, JAMES R & THERESIA J
Address: 2303 N CENTER RD
SPOKANE, WA 99212
Zoning: B-3 Regional Business
Water District: 002 ORCHARD AVENUE Hold: ❑
Area: 14,365 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Plan Review
Permits:
Contractor: CDA CUSTOM SHEET METAL &
Address: 4918 W INDUSTRIAL WAY Phone: (208) 664-4114
COEUR D'ALENE, ID 83814
Released By:.,
Mechanical Permit
Firm: CDA CUSTOM SHEET METAL &
Item Description
GAS APPLIANCE<=100,000BTU
PROCESSING FEE
Units Unit Desc
1 NUMBER OF
1 SELECT
Operator: JD Printed By: JD
Fee Amount
$12.00
$35.00
Permit Total Fees: $47.00
Print Date: 12/21/2006
Project Number: 06004921 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/21/2006 Page 2 of 2
Payment Summary:
Permit Type
Mechanical Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$47.00 $47.00
$47.00 $0.00
$47.00 $47.00
$47.00 $0.00
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: JD Printed By: JD
Print Date: 12/21/2006