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2009, 08-11 Permit App 09002495 Mechanical Fixtures• Project Number: 09002495 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: 1 GAS WTR HTR/ 1 GAS PIP Setbacks: Front Left: Right: Rear: Site Information: Plat Key: 002730 Name: VALLEY VIEW ADD Date: 8/11/2009 Page 1 of 2 Contact: BANNER FURNACE & FUEL Address: 122 N HELENA C - S - Z: SPOKANE WA 99202 Phone: (509) 535-1711 Group Name: Project Name: District: East Parcel Number: 551813508 Block: SiteAddress: 18305 E BROADWAY AVE Location:: CSV Lot: Owner: Name: THOMPSON, HUGH Address: 18305 E BROADWAY AVE GREENACRES, WA 99016-9514 Zoning: CMU Corridor Mixed Use Dist Water District: 134 CONSOLIDATED ID #19 Area: 43,050 Sq Ft Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: -- - Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Plan Review Released By: `?") , Onc Mechanical Permit Contractor: BANNER FURNACE & FUEL CO Firm: BANNER FURNACE & FUEL CO I Address: P 0 BOX 4346 SPOKANE, WA 99220 Item Description GAS WATER HEATER GAS PIPING PROCESSING FEE Phone: (509) 535-1711 Units Unit Desc 1 NUMBER OF 1 # OF UNITS 1 SELECT Fee Amount $11.00 $1.00 $37.00 Permit Total Fees: $49.00 Operator: JD Printed By: JD Print Date: 8/11/2009 Project Number: 09002495 Inv: 1 Notes: , Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary: Permit Type Mechanical Permit Date: 8/11/2009 Page 2 of 2 Fee Amount Invoice Amount Amount Paid Amount Owing $49.00 $49.00 $0.00 $49.00 $49.00 $49.00 $0.00 $49.00 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: JD Printed By: JD Print Date: 8/11/2009