2004, 04-14 Permit: BLD-04-04072 Plumbing Reversal20,0•1411ey
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
PLUMBING PERMIT
Job Address: 9412 E BOONE AVE
SPOKANE WA 99206-4005
Description: PLUMBING REVERSAL FOR SEWER CONNECTION
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
MACKEY, DAVID S & PAMELA S
Permit #:
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45172.1003
VIETZKE EXCAVATING CO Phone: (509) 244-9607
2011 S CRAIG RD
MEDICAL LAKE, WA 99001
GOLD SEAL SERVICE
5524 E BOONE AVE
SPOKANE WA 99212-0903
Phone:
Lic No:
(509) 535-5946
GOLDSS*133QS
BLD -04-04072
Zoning:
04/14/2004
04/14/2004
10/11/2004
General Information:
SUPPLEMENTAL PERMIT
WATER PIPING/DRAIN-IN WASTE 1
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.
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Signature Date
R.I.Ack IA
Print Name
Staff Initials
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THIS IS NOT A RECEIPT