2004, 05-14 Permit: BLD-04-04353 Plumbing ReversalSp® nee
aeliValley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 2409 N BATES RD
SPOKANE WA 99206-4710
Description: PLUMBING REVERSAL
OWNER CONTRACTOR
Subdivision:
Owner:
Applicant:
Address•
SAM T GILES
PLUMBING PERMIT
Permit #:
Applied:
Issued:
Expires:
Lot: Elk: Parcel No: 45091 2204
SAM T GILES Phone: (406) 283-1514
2409 N BATES RD
SPOKANE, WA 99206-4710
Contractor: Phone:
Address: Lic No:
BLD -04-04353
Zoning:
05/14/2004
05/14/2004
11/10/2004
General Information:
SUPPLEMENTAL PERMIT
WATER PIPING/DRAIN-IN WASTE
N
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.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
Awve err -5h f & 1 LSE{
Print Name
SigrWure
Staff Initials
THIS IS NOTA RECEIPT