2004, 09-30 Permit BLD-04-07816 Gas PipingPr— a e,
Staff In
Spokane
.000Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
MECHANICAL PERMIT
Job Address: 16904 E BROADWAY AVE
VERADALE WA 99037-
Description: GAS PIPING - ABANDONED HOME FOR 1 1/2 YEARS
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
DOLSON, CHARLES W
Permit #: BLD-04-07816
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45134.1805 Zoning:
DOLSON, CHARLES W Phone:
16904 E BROADWAY AVE
VERADALE, WA 99037-
Phone:
Lic No:
09/30/2004
09/30/2004
03/29/2005
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 oX ordinances.
i
Ownership of resulting develc
'9X.S7 4/t
•menj'rights granted by any issued
THIS I • RECEIPT