2004, 02-05 Permit BLD-04-03508 Air Test Gas Piping*Wane
MECHANICAL PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 14604 E BROADWAY AVE
SPOKANE WA 99216-2034
Description: SAFETY INSPECTION / AIR TEST OF EXISTING GAS PIPING
Subdivision:
Owner:
Applicant:
Address:
Address:
Lic No:
FAIRBANKS CAPITAL CORP
Permit #:
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45143.0103
FAIRBANKS CAPITAL CORP Phone: (509) 747-1051
2829 S GRAND BLVD SUITE 101
SPOKANE, WA 99203
Contractor: Phone:
BLD-04-03508
Zoning:
02/05/2004
02/05/2004
08/03/2004
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 per. inure ;the prope ► 'er.
2/S—/(/
&Vt Sk 0 /(b/
Prin Name
Staff Initials
Date
THIS IS NOT A RECEIPT