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2004, 05-11 Permit: BLD-04-04323 Plumbing ReversalSpokane Valley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 PLUMBING PERMIT Job Address: 11810 E ALKI AVE SPOKANE WA 99206 -6111 Description: TOILET, SINK, SHOWER AND PLUMBING REVERSAL Subdivision: Lot: Owner: Applicant: Address: Contractor: Address: SEMMEN, D A ACME EXCAVATING 3021 N LILY RD SPOKANE, WA 99212 -1535 BELKNAP PLUMBING 3414 S ADAMS RD VERADALE WA 99037 -9101 Permit #: Blk: Parcel No: 45164.0226 Phone: (509) 228 -0691 Phone: (509) 921 -5913 Lic No: BELKNAP*071 D6 Applied: Issued: Expires: BLD -04 -04323 Zoning: 05/11/2004 05/11/2004 11/07/2004 General Information: SUPPLEMENTAL PERMIT TOILETS SHOWERS (PER TRAP) SINKS WATER PIPING /DRAIN -IN WASTE N 1 1 1 1 Fees: PLUMBING PROCESSING FEE TOILETS SHOWERS SINKS WATER PIPING /DRAIN -IN WASTE Total Calculated: Deposits /Receipts: Total Due: 35.00 6.00 6.00 6.00 6.00 59.00 59.00 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. Print Name Signature Date Staff Initials THIS IS NOT A RECEIPT