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2004, 03-26 Permit BLD-04-03921 Relocate StoveCITF Spokane 1°Valley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 MECHANICAL PERMIT Job Address: 17718 E INDIANA AVE GREENACRES WA 99016-8534 Description: NEW GAS PIPING FOR GAS STOVE RELOCATION Subdivision: Owner: Applicant: Address: OGLESBEE, DAVID P & WENDI D Permit #: Applied: Issued: Expires: Lot: Blk: Parcel No: 55073.1031 OGLESBEE, DAVID P & WENDI D Phone: (509) 927-9343 17718 E INDIANA AVE GREENACRES, WA 99016-8534 Contractor: Phone: Address: Lic No: BLD-04-03921 Zoning: 03/26/2004 03/26/2004 09/22/2004 General Information: SUPPLEMENTAL PERMIT GAS PIPING (ea. OUTLET) 1 Fees: MECHANICAL PROCESSING FEE GAS PIPING Total Calculated: Deposits/Receipts: Total Due: 35.00 1.00 36.00 36.00 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. Print Name Signature —\ \ Date Staff Initials THIS IS NOT A RECEIPT