2005, 05-30 Permit: BD03-539 Plumbing FixturesCity of SPOKANE VALLEY
Bp -363'
Building, Fire and Public Works Fees Receipt Pt-,)
Applicant/Business /'1/4_, v .EX Permit No.c 3 -X.0?
Project Name Date
°o4
Site Address
Please Receipt the Following:
(D
Check Number . ( 5.1
Payer's Name ALN
Address city
Receipt Number
BUILDING DEPARTMENT
001.059.322.10.01
001.059.322.10.02
001.059.322.10.03
001.059.322.10.04
001:059.322:10:06
., 001.059.322.90.01
001.059.345.83.01
001.059.345.83.03
001.059.342.40.02
001.059.237.10.98
001.059.237.10.02
FIRE DEPARTMENT #
001.059.322:10.07
001.059.322.10.08
001.059.322.10.09
001.059.322.10.10
001.059.322.10.11
001.059.322.10.12
001.059.322.10.13
001.059.321.30.00
001.059.342.40.01
001.059.237.10.99
OTHER:
Building Permit
Plumbing Permit
Grading Permit
Mechanical Permit
Demolition Permit
Misc. Permits and Fees
Plans Check Fee
Energy plans check fee
SPECIAL Inspections
Bonds / Deposits
WSBCC Surcharge
Plans check fee
Sprinkler plans check
F. A. Plans check
Misc. plans check
Fire Alarm inspections
Sprinkler 'tnspeetions
Misc. Inspections
Fireworks Permit
UFC permit fees
Bonds / Deposit "*
PUBLIC WORKS
001.059.322.40.00 Right of Way
001.059.342.40.03 Special Inspections
001.059.237.10.99 Bonds/Deposits (cash)**
TOTAL AMOUNT DUE
Zip
$ 3,oro
$
* To be tent to Wash. State Building Code Council quarterly.
# 65% of figure to be sent to the Fire Department Quarterly, except bonds etc.
* * Liability Insurance verification may also be required.
S-Vrecpt
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