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2003, 11-17 Permit: BLD-03-03077 Plumbing FixturesSikikane PLUMBING PERMIT 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address: Description: Subdivision: Owner: Applicant: Address: Contractor: Address: 11816 E FREDERICK AVE SPOKANE WA 99206-4674 1 TOILET, 1 SHOWER, 1 SINK Permit #: Applied: Issued: Expires: Lot: Blk: Parcel No: 45091.0342 LOE, LARRY A & LAURIE A GOLD SEAL SERVICE Phone: (509) 535-5946 5524 E BOONE AVE SPOKANE, WA 99212-0903 GOLD SEAL SERVICE 5524 E BOONE AVE SPOKANE WA 99212-0903 Phone: Lic No: (509) 535-5946 GOLDSS*133QS BLD -03-03077 Zoning: 11/17/2003 11/17/2003 05/15/2004 General Information: SUPPLEMENTAL PERMIT TOILETS SHOWERS (PER TRAP) SINKS N 1 1 1 Fees: PLUMBING PROCESSING FEE TOILETS SHOWERS SINKS Total Calculated: Deposits/Receipts: Total Due: 35.00 6.00 6.00 6.00 53.00 53.00 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. m Staff Initials Signature THIS IS NOT A RECEIPT // / 03 Dat