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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