2004, 05-17 Permit: BLD-04-04384 Plumbing FixturesSpokane
..,,,•s'Milley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 2215 N GIRARD RD
SPOKANE WA 99212
Description: CROSS CONNECTION DEVICE
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
THIEMAN, RAYMOND E & GRACE L
PLUMBING PERMIT
Permit #:
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 35124.2806
RAMSEY PLUMBING & HEATING INC Phone: (509) 482-2775
4023 E CENTRAL AVE
SPOKANE, WA 99217
RAMSEY PLUMBING & HEATING INC
4023 E CENTRAL AVE
SPOKANE WA 99217
Phone:
Lic No:
(509) 482-2775
RAMSEPH125LC
BLD -04-04384
Zoning:
05/17/2004
05/18/2004
11/14/2004
General Information:
SUPPLEMENTAL PERMIT
CROSS CONNECTION DEVICE
N
1
Fees:
PLUMBING PROCESSING FEE
CROSS CONNECTION DEVICE
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.
Print Name Signature
Staff Initials
THIS IS NOT A RECEIPT
Date