2003, 07-01 Permit BLD-03-02010 Gas PipingMECHANICAL - RESIDENTIAL
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 3215 N PARK RD
SPOKANE WA 99212
Description:
Subdivision: Lot No:
Owner.
Applicant:
Address:
Contractor:
Address.
CARL ERICKSON
K C CHARLES INC Phone: (509) 276-1228
5685 JERGENS RD
NINE MILE FALLS, WA 99026
K C CHARLES INC
5685 JERGENS RD
NINE MILE FALLS WA 99026
Phone:
Lic No:
(509) 276-1228
KCCHAI*088OT
Permit #: BLD-03-02010
Applied: 07/01/2003
Issued: 07/01/2003
Expires: 12/28/2003
General Information:
SUPPLEMENTAL PERMIT
GAS PIPING (ea. OUTLET)
N
1
Fees:
MECHANICAL PROCESSING FEE
GAS PIPING
Total Calculated:
Deposits/Receipts:
Total Due:
35.00
1.00
36.00
36.00
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 goveming this type of work will be in
compliance. 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.
Ownership of resulting development rights granted by any issued pe it inure property owner.
r .e4 7- 7 -03
Applicant Date CoBnterApproval
Please print name here