2014, 07-25 Permit: BLD-2014-1770 Cross ConnectionS io" kane
4,000Ualley°
v
City of Spokane Valley
Community Development
11703 E. Sprague Ave., Suite B3
Spokane Valley, WA 99206
(509) 720-5240
perm itcenter@sooka neva II ev. orq
BLD -2014-1770 BLD -PLUM
PROJECT NAME: ISSUED: 07/25/2014
SITE ADDRESS: 11219 E GRACE AVE SPOKANE VALLEY EXPIRES: 07/25/2016
PROJECT DESCRIPTION: INSTALLATION OF CROSS CONNECTION DEVICE
PARCEL: 45092.1218
APPLICANT: FOREVER GREEN SPRINKLERS
PO BOX 6441 SPOKANE, WA 99217
509-489-1234
OWNER: AMMONS, JASON M
11219 E GRACE AVE
SPOKANE, WA 99206
GENERAL CONTRACTOR:
FOREVER GREEN SPRINKLERS
PO BOX 6441
SPOKANE, WA99217
509-489-1234
License: FOREVGS961 DB
Expires: 05/10/2016
FEES:
Plumbing Permit
Paid
$43.00
Due
$0.00
Totals : $43.00
$0.00
FIXTURES f
Qty Plumbing Fixtures
1 Backflow protective device other than
atmospheric type vacuum breakers
FOR INSPECTIONS CALL 688-0054
CHOOSE W c -4 A-Ae
The ownership of a Spokane Valley Development Permit will inure to the property owner. The permit
applicant, by definition, is the property owner or an authorized agent of the property owner. It is the
responsibility of the applicant / permittee that the use described on the front of this permit comp ies with
applicable codes and that required inspections are requested. Failure to request inspections as isted
below and obtain the necessary approvals before progressing beyond the point where inspections are
required and may necessitate removal of certain parts of the construction are the applicant's / permittee's
or property owner's expense.
Owner/Agent
Staff Approval
Printed by Tamara Faurotorr 07/25/201410'08 AM
Date:
Date: 7/26/,
Page 1 of 1
Spokane
.000Ualley.
11703 E. Sprague Ave., Suite B-3
Spokane Valley, WA 99206
Receipt Number: 201402158
(509) 720-5240
permitcenter@spokanevalley.org
Payer/Payee: FOREVER GREEN SPRINKLERS
PO BOX 6441
SPOKANE WA99217
Cashier: HMORRIS
Payment Type: CREDIT CARD
Date:
07/25/2014
BLD -2014-1770 PLUMBING PERMIT
11219 E GRACE AVE
Fee Description
Plumbing Permit
BLD -2014-1770 TOTALS:
TOTAL PAID:
Printed 07/25/2014 10:00:00 by Heather Morris
Fee Amount
$43.00
Amount Paid
$43.00
Fee Balance
$0.00
$43.00 $43.00
$0.00
$43.00
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