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2010, 09-22 Permit App 10003019 Fuel Brng Appl. Project Number: 10003019 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: 1 FUEL BRNG APPL Setbacks: Front Site Information: Left: Right: Rear: Plat Key: 001647 Name: MISSION VIEW ADD Date: 9/22/2010 Page 1 of 2 Contact: THE BARTON BOYS INC Address: 7221 E NORA AVE C - S - Z: SPOKANE, WA 99212 Phone: (509) 892-5300 Group Name: Project Name: District: Nort Parcel Number: 45152.0703 Block: SiteAddress: 12412 E MISSION AVE Location:: CSV Zoning: 0 Office District Water District: 011 MODERN Area: 20,909 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Lot: Owner: Name: INLAND IMAGING MANAGEMEN Address: 525 S COWLEY ST SPOKANE, WA 99202-1381 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Parcel Number: 45152.0704 Block: SiteAddress: 12406 E MISSION AVE Location:: SPO Zoning: UR-22 Urban Residential-22 Water District: 011 MODERN Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information Lot: Owner: Name: DR. DWIGHT DAMON & DR. MAG Address: 12406 E MISSION AVE SPOKANE, WA. 99203 Hold: ❑ Review Plan Review Released By: Permits: _nM,., V s. �:-'Mnkr..7,�,, . � -.:, Operator: JD Printed By: JD Print Date: 9/22/2010 . Project Number: 10003019 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Mechanical Permit Date: 9/22/2010 Page 2 of 2 Contractor: THE BARTON BOYS INC Firm: THE BARTON BOYS INC Address: 7221 E NORA AVE Phone: (509) 892-5300 SPOKANE VALLEY WA 99212 Item Description Units Unit Desc Fee Amount GAS WATER HEATER 1 NUMBER OF $11.00 PROCESSING FEE 1 SELECT $37.00 Notes: . ; _. ,.:._ __ "_ Payment Summary: Permit Type Mechanical Permit Permit Total Fees: $48.00 PONNOWSKW7AMINAr- 'MOW:'' ,. - O: t .4,1,7 7010@e uM,' ; ``Si Fee Amount Invoice Amount Amount Paid Amount Owing $48.00 $48.00 $48.00 $0.00 $48.00 $48.00 $48.00 $0.00 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: 9/22/2010