2003, 07-24 Permit: BLD-03-02074 Plumbing Reversalan rc
4 Skanee
FMi y
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 3004 S FOX RD
SPOKANE WA 99206-5907
Description: PLUMB REVERSAL
PLUMBING - RESIDENTIAL
Subdivision: Lot No:
Owner:
Applicant:
Address:
Contractor:
Address:
BEMEL, M & S
NORM'S EXCAVATING INC Phone: (509) 928-0580
PO BOX 574
VERADALE, WA 99037
BELKNAP PLUMBING
3414 S ADAMS RD
VERADALE WA 99037-9101
Phone:
Lic No:
(509) 921-5913
BELKNAP*071 D6
Permit #: BLD -03-02074
Applied: 07/24/2003
Issued: 07/24/2003
Expires: 01/20/2004
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:
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 in
compliance. 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.
Ownership of resulting development rights granted by any issu
Applicant Date
Please print name here
permit initr- _ ... e property owner.
e Approval