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2004, 03-04 Permit: BLD-04-03685 Plumbing ReversalSpokane IsValley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address: Description: Subdivision: Owner: Applicant: Address: Contractor: Address: PLUMBING PERMIT 2419 N BATES RD SPOKANE WA 99206-4710 PLUMBING REVERSAL FOR SEWER CONNECTION WILLIAMS, CHAR Permit #: Applied: Issued: Expires: BLD -04-03685 03/04/2004 03/04/2004 08/31/2004 Lot: Blk: Parcel No: Zoning: INLAND NW EXCAVATORS Phone: (509) 994-5654 PO BOX 11932 SPOKANE, WA 99201 INLAND NW EXCAVATING PO BOX 11932 SPOKANE WA 99201 Phone: Lic No: (509) 994-5654 INLANNE973QK 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 issued permit inure to the property owner. Print Name Staff Initials Signature Date THIS IS NOT A RECEIPT