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2004, 06-21 Permit BLD-04-04661 Furnace, ACSpokane �,,,�Valley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address: Description: 1304 N EVERGREEN RD SPOKANE WA 99216-1114 GAS FURNACE, A/C AND PIPING MECHANICAL PERMIT Subdivision: Lot: Owner: Applicant: Address: Contractor: Address: ORCOTT, KARRY & JOAN COUGAR MECHANICAL INC PO BOX 6427 SPOKANE, WA 99217 COUGAR MECHANICAL INC PO BOX 6427 SPOKANE WA 99217 Permit #: Applied: Issued: Expires: Blk: Parcel No: 45142.2106 Phone: (509) 484-6420 Phone: Lic No: (509) 484-6420 COUGAI*994BB BLD-04-04661 Zoning: 06/21/2004 06/21/2004 12/18/2004 General Information: SUPPLEMENTAL PERMIT FUEL BURNING APPL <= 100,000 GAS PIPING (ea. OUTLET) HEAT PUMP/AIR COND 0 - 3 TON N 1 1 1 Fees: MECHANICAL PROCESSING FEE FUEL BURNING APPL <= 100,000 GAS PIPING HEAT PUMP/AIR COND 0 - 3 TON Total Calculated: Deposits/Receipts: Total Due: 35.00 15.00 1.00 12.00 63.00 63.00 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. PrintNSignature Staff Initials THIS IS NOT A RECEIPT