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2004, 04-07 Permit: BLD-04-03988 Lawn SprinklerStkikane 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address: 834 S GALWAY LN VERADALE WA 99037 Description: INSTALL LAWN SPRINKLER SYSTEM (OWNER IS CONTRACTOR) Subdivision: Owner: Applicant: Address: MCCAULEY, SANDY PLUMBING PERMIT Lot: Blk: Parcel No: MCCAULEY, SANDY Phone: (509) 939-1544 834 S GALWAY LN VERADALE, WA 99037 Contractor: Phone: Address: Lic No: Permit #: Applied: Issued: Expires: BLD -04-03988 Zoning: 04/07/2004 04/07/2004 10/04/2004 General Information: SUPPLEMENTAL PERMIT CROSS CONNECTION DEVICE 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. J04" voce 541- 24-7-°� Print Name Signature Date Staff Initials THIS IS NOT A RECEIPT