2004, 03-22 Permit: BLD-04-03839 Plumbing ReversalsrPOkQne
jValley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
1109 N BATES RD
SPOKANE WA 99206
PLUMBING REVERSAL
VYLASEK, JOANN K
NORM'S EXCAVATING INC
PO BOX 574
VERADALE, WA 99037
BELKNAP PLUMBING
3414 S ADAMS RD
VERADALE WA 99037-9101
PLUMBING PERMIT
Permit #: BLD -04-03839
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45161.0844 Zoning:
Phone: (509) 928-0580
Phone: (509) 921-5913
Lic No: BELKNAP*071D6
03/22/2004
03/22/2004
09/18/2004
General Information:
SUPPLEMENTAL PERMIT
WATER PIPING/DRAIN-IN WASTE
N
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 federal, state or local laws, codes or ordinances.
Print
Ownership of resulting development rights granted by any issued permit inure to the property owner.
3o -2D' -I
{ame Signature Da e
Staff Initials
THIS IS NOT A RECEIPT