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2004, 04-14 Permit: BLD-04-04076 Plumbing ReversalSpokane .,,I VaHley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address: Description: Subdivision: Owner: Applicant: Address: Contractor: Address: 11715 E ALKI AVE SPOKANE VALLEY WA 99206 PLUMBING PERMIT PLUMBING REVERSAL FOR SEWER CONNECTION Permit #: Applied: Issued: Expires: BLD -04 -04076 04/14/2004 04/14/2004 10/11/2004 Lot: Blk: Parcel No: 45164.0160 Zoning: CASTOLDI, ANDREW J & TRACY J Phone: (509) 217 -9180 11715 E ALKI AVE SPOKANE VALLEY, WA 99206 CASTOLDI, ANDREW J & TRACY J JACKSON PLUMBING PO BOX 7272 SPOKANE WA 99207 Phone: (509) 926 -7101 Lic No: JACKSP *055NS General Information: SUPPLEMENTAL PERMIT N WATER PIPING /DRAIN -IN WASTE 1 Fees: PLUMBING PROCESSING FEE WATER PIPING /DRAIN -IN WASTE Total Calculated: Deposits /Receipts: Total Due: 35.00 6.00 41.00 41.00 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 fed , stafe r local laws, codes or ordinances. Ownership of resulting development rights granted by any issued pe hll� , Print Name Staff Initials the property owner. THIS IS NOT A RECEIPT 44/'-1 /CL-1 Date