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2004, 03-11 Permit: BLD-04-03741 Plumbing ReversalSpokane jUalley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address: Description: Subdivision: Owner: Applicant: Address: Contractor: Address: 818 S EDGERTON RD SPOKANE WA 99212-3016 PLUMBING REVERSAL FLEMING, BOB D PLUMBING PERMIT Permit #: Applied: Issued: Expires: Lot: Blk: Parcel No: 45193.0103 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*071 D6 BLD -04-03741 Zoning: 03/11/2004 03/11/2004 09/07/2004 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 venfies, 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 Signature Staff Initials THIS IS NOTA RECEIPT 3 l/ -may Date •