2004, 10-28 Permit: BLD-04-08055 Plumbing ReversalSikikane
F Valley
11707 E. Sprague Ave , Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address•
Contractor:
Address:
422 N BATES RD
SPOKANE WA 99206-5169
1 -PLUMBING REVERSAL
BUELOW, HAROLD
PLUMBING PERMIT
Permit #:
Applied:
Issued:
Expires:
BLD -04-08055
Lot: Blk: Parcel No: 45164.0203 Zoning:
45164.0215
H & S CONSTRUCTION Phone: (509) 926-8964
11817 E VALLEYWAY AVE
SPOKANE, WA 99206-5128
H & S CONSTRUCTION
11817 E VALLEYWAY AVE
SPOKANE WA 99206-5128
Phone:
Lic No:
(509) 926-8964
HSCON"123KF.
10/28/2004
10/28/2004
04/26/2005
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.
Ownership of resulting development rights granted by any iss ure to the property owner.
Print Name ."-J
.cid Min C
et I re Date I
Staff Initials
THIS IS NOTA RECEIPT