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2003, 11-13 Permit BLD-03-03053 WoodstoveSpokane 4.0,0Valley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address. 17205 E CATALDO AVE GREENACRES WA 99016 Description: INSTALL WOODSTOVE Subdivision: Owner: Applicant: Address: Contractor: Address: COURCHAINE, RANDY MECHANICAL PERMIT Lot: Blk: Parcel No: COURCHAINE, RANDY Phone: (509) 922-8147 19029 E BOONE AVE #40 #40 GREENACRES, WA 99016-9479 Phone: Lie No: Permit #: Applied: Issued: Expires: BLD-03-03053 Zoning: 11/13/2003 11 /13/2003 05/11/2004 General Information: SUPPLEMENTAL PERMIT WOOD STOVE - FREE STANDING N 1 Fees: MECHANICAL PROCESSING FEE WOOD STOVE - FREE STANDING Total Calculated: Deposits/Receipts: Total Due: 35.00 25.00 60.00 60.00 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. Print Name Signature Date Staff Initials THIS IS NOT A RECEIPT