2004, 05-05 Permit BLD-04-04265 Wtr HtrCtT1' ilr�
Spak.ne
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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
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ignature Date
Staff Initials
THIS IS NOT A RECEIPT