2005, 09-12 Permit App: 05003335 Plumbing FixturesProject Number: 05003335 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information: `
Date: 09/12/2005 Page 1 of 2
Permit Use: 1 TOILET, 1 SHOWER, 1 SINK AND 1 WATER
PIPING
Setbacks: Front Left: Right: • Rear:
Site Information:
Plat Key: 001180 Name:
Contact: BELKNAP PLUMBING
Address: 3414 S ADAMS
C - S - Z: VERADALE, WA 99037
Phone: (509) 921-5913
Group Name: -
Project Name:
HELSTROMS SUB #2 OPP
District:
Parcel Number: 45152.1135
Block:
SiteAddress: 13014 E CATALDO AVE
Location:: CSV
Zoning: AGSUB
Water District:
Lol:
Owner: Name: OPEN BIBLE CHURCH
Address: 13014 E CATALDO AVE
SPOKANE VALLEY, WA 99212
Hold: O
Area: .,475.00 Acres Width: 85 Depth: 135 Right Of Way (ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: ,
Review
Plan Review
Released 13y:
Permits:
Plumbing Permit
Contractor: BELKNAP PLUMBING Firm: BELKNAP PLUMBING
Address: 3414 S ADAMS RD Phone: (509) 921-5913
• VERADALE, WA 99037
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 1 NUMBER OF $6.00
SINKS 1 NUMBER OF $6.00
SHOWERS 1 NUMBER OF $6.00
WATER PIPING - DWV 1 NUMBER OF $6.00
PROCESSING FEE 1 SELECT $35.00
Permit Total Fees: $59.00
Operator: CJJ Printed By: KJK Print Date: 09/12/2005
Project Number: 05003335 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for co%nmei;wcing work without a permit
Notes:
Date: 09/12/2005 Page 2 of 2
Payment Summary
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Plumbing Permit $59.00 $59.00 $59.00 $0.00
$59.00 $59.00
$59.00 $0.00
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: CJJ Printed By: KJK
Print Date: 09/12/2005