2004, 10-11 Permit: BLD-04-07882 Plumbing Reversalj
s ®carie
Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
8014 E HARRINGTON AVE
SPOKANE WA 99212-2970
PLUMBING REVERSAL
CUSTER, ANNETTE M/ERBEN, LEA
PLUMBING PERMIT
Permit #: BLD -04-07882
Applied:
Issued:
Expires:
Lot: BIk: Parcel No: 45183.0941 Zoning:
45183.0941 R
CUSTER, ANNETTE M/ERBEN, LEA Phone:
8014 E HARRINGTON AVE
SPOKANE, WA 99212-2970
Contractor: Phone:
Address: Lic No:
10/11/2004
10/11/2004
04/09/2005
General Information:
SUPPLEMENTAL PERMIT
WATER PIPING/DRAIN-IN WASTE
N
1
Fees:
PLUMBING PROCESSING FEE
WATER PIPING/DRAIN-IN WASTE
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 ddq/evelopment rights granted by any issued 7perrmit inure to the property owner.
111 1/1 P e � \ e().5f'rr 04444 /IC 7E7
Print Name Signature
Staff Initials
THIS IS NOT A RECEIPT
/o//oy
Date