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2004, 04-21 Permit BLD-04-04136 Furnace, Wtr HtrSpokane _..Valley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 MECHANICAL PERMIT Job Address: 11901 E BROADWAY AVE SPOKANE WA 99206-4914 Description: GAS FURNACE, WATER HEATER, GAS LOG & 4 - GAS PIPING Subdivision: Owner: Applicant: Address: Contractor: Address: WELK,DL&ME Permit #: Applied: Issued: Expires: Lot: Blk: Parcel No: 45161.1153 STURM HEATING INC Phone: 1112 N NELSON SPOKANE, WA 99202 STURM HEATING INC 1112 N NELSON SPOKANE WA 99202 Phone: Lic No: (509) 325-4505 (509) 325-4505 STURMI*210QF BLD-04-041 36 Zoning: 04/21/2004 04/21/2004 10/18/2004 General Information: SUPPLEMENTAL PERMIT FUEL BURNING APPL <= 100,000 GAS LOG, INSERT, FIREPLACE FUEL BURNING WATER HEATER GAS PIPING (ea. OUTLET) N 1 1 1 4 Fees: MECHANICAL PROCESSING FEE FUEL BURNING APPL <= 100,000 GAS LOG, INSERT, FIREPLACE FUEL BURNING WATER HEATER GAS PIPING Total Calculated: Deposits/Receipts: Total Due: 35.00 15.00 10.00 10.00 4.00 74.00 74.00 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