2004, 03-02 Permit: BLD-04-03656 Sprinkler Systemr.�rk� or
soal�ane
.00.' 1 a11ey
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 702 N GREENACRES RD
GREENACRES WA 99016
Description: SPRINKLER SYSTEM
Subdivision:
Owner:
Applicant:
Address:
ORR, EDWIN R
4
PLUMBING PERMIT
Permit #: BLD -04-03656
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: Zoning:
ORR, EDWIN R Phone:
608 N GREENACRES RD
GREENACRES, WA 99016-9536
Contractor: Phone:
Address: Lic No:
03/02/2004
03/02/2004
08/29/2004
General Information:
SUPPLEMENTAL PERMIT
CROSS CONNECTION DEVICE
SPRINKLER SYSTEM
N
1
0
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
rirights granted by any issued permit inure to the property ow q/f
Print Name
Staff Initials
Signature Date
THIS IS NOT A RECEIPT