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2004, 05-05 Permit BLD-04-04265 Wtr HtrCtT1' ilr� Spak.ne ,r,,I.•17Va11ey 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address: 14610 E BROADWAY AVE SPOKANE WA 99212 Description: REPLACE WATER HEATER OWNER CONTRACTOR Subdivision: Owner: Applicant: Address: BERKHAUG, GORDON MECHANICAL PERMIT Permit #: BLD-04-04265 Applied: 05/05/2004 Issued: 05/05/2004 Expires: 11 /01 /2004 Lot: Blk: Parcel No: 45143.0102 Zoning: BERKHAUG, GORDON Phone: 1403 N HOWARD ST SPOKANE, WA 99201-2413 Contractor: Phone: Address: Lic No: General Information: SUPPLEMENTAL PERMIT FUEL BURNING WATER HEATER 1 Fees: MECHANICAL PROCESSING FEE FUEL BURNING WATER HEATER Total Calculated: Deposits/Receipts: Total Due: 35.00 10.00 45.00 45.00 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. tint Name Z ignature Date Staff Initials THIS IS NOT A RECEIPT