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2004, 08-30 Permit: BLD-04-07515 Plumbing ReversalSpokane 41 1 l Va.11ey 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address: 303 N BESSIE RD SPOKANE WA 99212-2803 Description: PLUMBING REVERSAL Subdivision: Owner: Applicant: Address: Contractor: Address: WOOD, SANDRA K PLUMBING PERMIT Permit #: Applied: Issued: Expires: Lot: Blk: Parcel No: 45184.1355 ACME EXCAVATING Phone: (509) 228-0691 3021 N LILY RD SPOKANE, WA 99212-1535 BELKNAP PLUMBING 3414 S ADAMS RD VERADALE WA 99037-9101 Phone: Lic No: (509) 921-5913 BELKNAP'071D6 BLD -04-07515 Zoning: 08/30/2004 08/30/2004 02/26/2005 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 issued permit inure to the property owner r lit= &tri,ti.0 Print Name Signature Staff Initials THIS IS NOT A RECEIPT 3a rcY Date