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2007, 04-18 Permit App: 07001342 Residence
Project Number: 07001342 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/18/2007 Page 1 of 4 Project Information: Permit Use: SFR W/ATT GAR Setbacks: Front 33 Left: 5 Right: 5 Rear: 27 Site Information: MININENEMNAMSZNESPsnatateMWASORWR Plat Key: Name: Range Contact: DIAMOND ROCK CONSTRUCTION Address: 2602 N PINES C - S - Z: SPOKANE VALLEY, WA 99216 Phone: (509) 924-8964 Group Name: Project Name: District: East Parcel Number: 55073.2702 Block: SiteAddress: 17105 W KNOX AVE Location:: CSV Lot: Owner: Name: DIAMOND ROCK CONSTRUCTIO Address: 2602 N PINES SPOKANE VALLEY, WA 99216 Zoning: UR -3.5 Urban Residential 3.5 Water District: 134 CONSOLIDATED ID #19 Area: 6,018 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Building Plan Review Rele Driveway/Approach Originally Released: 4/18/2007 By: TMELBOU t Originally Released: 4/18/2007 By: jdavis Landuse/Zoning/HE Conditions Sewer Review Permits: ;.,,., .o. ,an V .. . Operator: JD Printed By: JD Released By: Print Date: 4/18/2007 Project Number: 07001342 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/18/2007 Page 2 of 4 Contractor: DIAMOND ROCK Address: 2602 N SULLIVAN SPOKANE VALLEY WA 99216 Item Description APPROACH -CONST IN ROW Contractor: DIAMOND ROCK Address: 2602 N SULLIVAN SPOKANE VALLEY WA 99216 Building Characteristics Building Height 24 Description 1 &2 FAMILY BASEMENT U DECK OPEN GARAGE Approach Firm: DIAMOND ROCK CONSTRUCTIO Phone: (509) 924-8964 Units Unit Desc 1 NUMBER OF Permit Total Fees: Building Permit Fee Amount $50.00 $50.00 Firm: DIAMOND ROCK CONSTRUCTIO Phone: (509) 924-8964 Grp "mg Notes R-3 VB R-3 VB R-3 VB U-1 VB Item Description RESIDENTIAL PERMIT FEE WSBC SURCHARGE SF PLNS RVW < 7999 SQ FT This Application: Total Project: Su Ft Valuation Su Ft Valuation 1,438 $131,375.68 1,438 $131,375.68 1,438 $21,570.00 1,438 $21,570.00 198 $2,970.00 198 $2,970.00 445 $9,790.00 445 $9,790.00 Totals: 3,519 $165,705.68 3,519 $165,705.68 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Permit Total Fees: Fee Amount $1,363.35 $4.50 $545.34 $1,913.19 Operator: JD Printed By: JD Print Date: 4/18/2007 Project Number: 07001342 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/18/2007 Page 3 of 4 Contractor: DIAMOND ROCK Address: 2602 N SULLIVAN SPOKANE VALLEY WA 99216 Item Description DUCT SYSTEMS GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING VENTILATING FANS CLOTHES DRYER HOOD -TYPE II Contractor: DIAMOND ROCK Address: 2602 N SULLIVAN SPOKANE VALLEY WA 99216 Item Description TOILETS/BIDETS SINKS SHOWERS TUBS DISH WASHERS CLOTHES WASHER MISCELLANEOUS FIXTURES Mechanical Permit Firm: DIAMOND ROCK CONSTRUCTIO Phone: (509) 924-8964 Units Unit Desc 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 2 # OF UNITS 3 NUMBER OF 1 NUMBER OF 1 NUMBER OF Permit Total Fees: Plumbing Permit Fee Amount $10.00 $10.00 $12.00 $2.00 $30.00 $10.00 $10.00 $84.00 Firm: DIAMOND ROCK CONSTRUCTIO Phone: (509) 924-8964 Units Unit Desc 2 NUMBER OF 4 NUMBER OF 1 NUMBER OF 2 NUMBER OF 1 NUMBER OF 1 NUMBER OF 2 NUMBER OF Operator: JD Printed By: JD Permit Total Fees: Print Date: Fee Amount $12.00 $24.00 $ 6.00 $12.00 $6.00 $6.00 $12.00 $78.00 4/18/2007 Project Number: 07001342 Notes: Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/18/2007 Page 4 of 4 Payment Summary: Permit Type Approach Building Permit Mechanical Permit Plumbing Permit Fee Amount $50.00 $1,913.19 $ 84.00 $78.00 Invoice Amount $50.00 $1,913.19 $84.00 $78.00 • Amount Paid $0.00 $0.00 $0.00 $0.00 Amount Owing $50.00 $1,913.19 $84.00 $78.00 $2,125.19 $2,125.19 $0.00 $2,125.19 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: JD Printed By: JD Print Date: 4/18/2007 SLA 1e t/ 1' 5' F�orct AxectdoL•is' i7/OS £ . K#LOx A PLANNING DEPT. APPROVED BY:Ca_ l (RA _1\ DATE h c't °� lit Project Number: 07001342 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/18/2007 Page 1 of 4 Project Information: Contact: DIAMOND ROCK CONSTRUCTION Address: 2602 N PINES C - S - Z: SPOKANE VALLEY, WA 99216 Phone: (509) 924-8964 Group Name: Project Name: Permit Use: SFR W/ATT GAR Setbacks: Front 33 Left: 5 Right: 5 Rear: 27 Site Information: Plat Key: Name: Range District: East Parcel Number: 55073.2702 SiteAddress: 17105 W KNOX AVE Location:: CSV Block: Lot: Owner: Name: DIAMOND ROCK CONSTRUCTIO Address: 2602 N PINES SPOKANE VALLEY, WA 99216 Zoning: UR -3.5 Urban Residential 3.5 Water District: 134 CONSOLIDATED ID #19 Area: 6,018 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Building Plan Review Released By: Originally Released: Driveway/Approach 4/18/2007 By: TMELBOU Released By: Originally Released: 4/18/2007 By: jdavis Landuse/Zoning/HE Conditions Released By: Sewer Review Permits: Operator: JD Printed By: JD Released By Print Date: 4/18/2007 Project Number: 07001342 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/18/2007 Page 2 of 4 Approach Contractor: DIAMOND ROCK Firm: DIAMOND ROCK CONSTRUCTIO Address: 2602 N SULLIVAN Phone: (509) 924-8964 SPOKANE VALLEY WA 99216 Item Description Units Unit Desc Fee Amount APPROACH -CONST IN ROW 1 NUMBER OF $50.00 Contractor: DIAMOND ROCK Permit Total Fees: $50.00 Building Permit Firm: DIAMOND ROCK CONSTRUCTIO Address: 2602 N SULLIVAN Phone: (509) 924-8964 SPOKANE VALLEY WA 99216 Building Characteristics Building Height 24 This Application: Total Project: DescriptionGrp km Notes Sq Ft Valuation Sq Ft Valuation 1&2 FAMILY R-3 VB 1,438 $131,375.68 1,438 $131,375.68 BASEMENT U R-3 VB 1,438 $21,570.00 1,438 $21,570.00 DECK OPEN R-3 VB 198 $2,970.00 198 $2,970.00 GARAGE U-1 VB 445 $9,790.00 445 $9,790.00 Item Description RESIDENTIAL PERMIT FEE WSBC SURCHARGE SF PLNS RVW < 7999 SQ FT Totals: 3,519 $165,705.68 3,519 $165,705.68 Units Unit Desc 1 SELECT 1 SELECT 1 SELECT Operator: JD Printed By: JD Fee Amount $1,363.35 $4.50 $545.34 Permit Total Fees: $1,913.19 Print Date: 4/18/2007 Project Number: 07001342 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/18/2007 Page 3 of 4 Contractor: DIAMOND ROCK Address: 2602 N SULLIVAN SPOKANE VALLEY WA 99216 Item Description DUCT SYSTEMS GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING VENTILATING FANS CLOTHES DRYER HOOD -TYPE II Contractor: DIAMOND ROCK Address: 2602 N SULLIVAN SPOKANE VALLEY WA 99216 Item Description TOILETSBIDETS SINKS SHOWERS TUBS DISH WASHERS CLOTHES WASHER MISCELLANEOUS FIXTURES Mechanical Permit Firm: DIAMOND ROCK CONSTRUCTIO Phone: (509) 924-8964 Units Unit Desc 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 2 # OF UNITS 3 NUMBER OF 1 NUMBER OF 1 NUMBER OF Permit Total Fees: Plumbing Permit Units 2 4 1 2 1 1 2 Operator: JD Printed By: JD Fee Amount $10.00 $10.00 $12.00 $2.00 $30.00 $10.00 $10.00 $84.00 Firm: DIAMOND ROCK CONSTRUCTIO Phone: (509) 924-8964 Unit Desc . NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF NUMBER OF Permit Total Fees: Print Date: Fee Amount $12.00 $24.00 $6.00 $12.00 $6.00 $6.00 $12.00 $78.00 4/18/2007 Project Number: 07001342 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/18/2007 Page 4 of 4 Notes: W::M Payment Summary: Permit Type Approach Building Permit Mechanical Permit Plumbing Permit Fee Amount $50.00 $1,913.19 $ 84.00 $78.00 Invoice Amount $50.00 $1,913.19 $84.00 $78.00 Amount Paid $0.00 $0.00 $0.00 $0.00 Amount Owing $50.00 $1,913.19 $84.00 $78.00 $2,125.19 $2,125.19 $0.00 $2,125.19 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: JD Printed By: JD Print Date: 4/18/2007 LZ 01 )(Qui • 3 S oILt Sr oevavy vJ0H -v ($ -z 40-7 ',.17/1 a( `0-7S Siiokane �gJ Community Developmen Permit Center 11707 E Sprague Ave, Suite 106 Spokane Valley, WA. 99206 (509)688-0036 FAX: (509)582 1k ww.spokanc vallev.or2.con 1 e dentia C©ns ruc kij Per°r ft Appttc2ttioFL P PERMIT NUMBER: 1-54 PERMIT FEE: ❑ Addid on/Reji ❑ Other; SITE ADDRESS 1710 5 f, x ASSESSORS PARCEL NO: GAL DESCRIPTION: Building owner Name: ; q yn c /t C/ g_0( R Address: City: Zip: Phone: Fax: on act Person.' Name: i7a (A Phone: "al Describe the scope of work in detail: eviCd a v\Q) S F%2 + Z /,/ K 2 /- /ora doe -is Contractor, Name: Di Q 140 Ad Zo G It Ca ri s 'f Address: 76C.) Z A/. Soil g✓( /1 12 01 City: SPO ta nL Y Zip: 99 7/4, Phone: q 2 Z/ - 6 y Fax: 9 2 6` $© q y Lic No: Exp. Date: City Business Lic No: Cost of Project: $ 70, 000 **************The following MUST be complete: (write N/A if not applicable)********************** DIMENSIONS: qox 501 HEIGHT TO PEAK: 24_4 MAIN FLOOR TO SQ. FTG: I Q-41--1.41 FINISHED BASEMENT SQ. FTG: —' # OF BEDROOMS: 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. 6) Plans or additional information may be required to be submitted, and subsequently approved before this application can be processed. 2Nu FLOOR SQ. FTG: # OF STORIES: UNFIN BASEMENT SQ. FTG: GARAGE SQ.qeir CONSTRUCTION TYPE: DECK/COV. PATIO SQ. FTG: /9g HEAT SOURCE: McCivra( Gas Furriac TOTAL HABITABLE`��ACE: / 4 IMPERVIOUS SURFACE AREA: OA - 30% SLOPES ON /N/A PROPERTY: SEWER OR SEPTIC? S �c .re ✓ Signature Date Method of Payment: (Faxed permit applications will only be accepted with major bankcard) ❑ Cash ❑ Check ❑ Mastercard ❑ VISA Bankcard #: Expires: VIN#: Authorized Signature: REVISED 8/25/2005 f//7/o' ❑ Other Permit Center 11707 F Sprague Ave, Suite 106 Spokane Valley, WA 99206 Val ley ssa✓ (509)688-0036 FAX: (509)688-0037 Community Development www.spoltanevalley.ora.corn h echaaaicai Permit Application ❑ omroi-cW. SITE ADDRESS 1 71 0 S- _ k vn.bK 4 cP PERMIT NUMBER: PERMIT FEE: 11"esi darn tis G Buildin_ owner Nnn � ame: i L` ►NLG V\C� !�< Cn✓� '�. Phone: 32_,.:q Address: Z(ri6 Z Ni: 51jlf% UTO A City ctr 4,;_._1_,-(_____.. Fax ____, Z!‘ 521'1 Contractor Name: (e /14.431- .t. ((,yL f req ( Phone: Fax: Address: City State Zip License No: City Business License No: Contact Name: ?AAA 1 Phone: 2-1 If - 4-19 Z 41 DESCRIPTION OF WORK # OF UNITS X COST = TOTAL AMOUNT 1 FUEL BURNING APPLIANCE Equal to or less than 100,000 ( X $12.00 = 1 2- 2 2 FUEL BURNING APPLIANCE More than 100,000 X $15.00 = 3 UNLISTED APPLIANCE (Additional Fee) Equal to or less than 400,000 X $50.00 = 4 UNLISTED APPLIANCE (Additional Fee) More than 400,000 X $100.00 = 5 USED APPLIANCE (WSEC min. AFUE rating) Equal to or less than 400,000 X $50.00 = 6 USED APPLIANCE (WSEC min. AFUE rating) More than 400,000 X $100.00 = 7 BOILER/REFRIGERATION 1 - 100M BTU X $12.00 = 8 BOILER/REFRIGERATION 101 - 500M BTU X $20.00 = 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $25.00 = 10 BOILER/REFRIGERATION 1,001 - 1,750M BTU X $35.00 = 11 BOILER/REFRIGERATION More than 1,750M BTU X $60.00 = 12 GAS LOG, GAS INSERT, GAS FIREPLACE X $10.00 = 13 RANGE X $10.00 = 14 DRYER 1 X $10.00 = i U 15 FUEL BURNING WATER HEATER 1 X $10.00 = 10 16 MISC. FUEL BURNING APPLIANCE X $10.00 = 17 GAS PIPING (each outlet) 1- X $1.00 = 1- 18 DUCT SYSTEMS i X $10.00 = I 0 19 VENTILATING FANS 3 x $10.00 = 30 20 AIR HANDLER (DOES NOT include ducting) Equal to or less than 10,000 CFM X $12.00 = 21 AIR HANDLER (DOES NOT include ducting) Greater than 10,000 CFM X $15.00 = 22 EVAPORATIVE COOLERS X $10.00 = 23 TYPE I HOOD X $50.00 = 24 TYPE II HOOD 1 X $10.00 = /0 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 = 26 AIR CONDITIONER 3-15 TON X $20.00 = 27 AIR CONDITIONER 15-30 TON X $25.00 = 28 AIR CONDITIONER 30-50 TON X $35.00 = 29 AIR CONDITIONER More than 50 TON X $60.00 = 30 LPG STORAGE TANK X $10.00 = 31 WOOD OR PELLET STOVE/INSERT X $10.00 = 32 WOOD STOVE - FREE STANDING X $25.00 = 33 REPAIR & ADDITIONS X $15.00 = 34 VENTILATION SYSTEMS X $12.00 = 35 VENTILATION MECHANICAL EXHAUST X $12.00 = 36 INCINERATOR - RESIDENCE X $19.00 = 37 INCINERATOR - COMMERCIAL X $22.00 = METHOD OF PAYMENT: ❑CASH 0 CHECK 0 VISA 1=1MC CARD #. SUBTOTAL V 41 DATE PROCESSING FEE $35.00 EXPIRES. TOTAL PERMIT FEE DUE: AUTHORIZED SIGNATURE: REVISED 8/26/05 • Skapo< � � . x bre^'"., ne Valley Community Development Plumbing permit SITE ADDRESS Permit Center 11707 E Sprague Ave, Suite 106 Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 www.spokaneeallcv.or_.com Application 17/05 L. K ^ex 4-ve PERMIT NUMBER: PERMIT FEE: ❑ Lull.L il ,, x 1. amu• "o Li as"a� Building owner Name. p;ayi4pykd Phone: g 6 Fax /ZG, L-/ Address: State Zip .9CL z/(p Contractor Phone Name: M k 4' 5cs,,.s l v b rt y Address: Fax: License No: City City Business License No: State Zi Contact Name: Phone: Z)V-4/9Zy DESCRIPTION OF WORK 1 TOILETS WATER CLOSET, BIDETS nvrVIII a Z A X t,.UJI $6.00 = = IUTALAMOUNT 12— 2 URINALS X $6.00 = 3 TUBS x $6.00 lZ 4 5 SHOWERS (PER TRAP) SINKS BATH, STALL, ON-SITE BUILT LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT X X $6.00 $6.00 6 DISHWASHER X $6.00 7 CLOTHES WASHER X $6.00 8 GARBAGE DISPOSAL X $6.00 9 WATER SOFTENER X $6.00 10 ELECTRIC HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6.00 11 12 FLOOR DRAINS ROOF DRAINS/OVERFLOW DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6.00 X $6.00 13 14 FOUNTAINS, DRINKING WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS X $6.00 X $6.00 15 SEWAGE EJECTOR GRINDER, SUMP PUMP 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB, STEAMER PROOFER, CARBONATOR, SWAMP COOLER 2 X X $6.00 $6.00 17 CROSS CONNECTION DEVICE VACUUM BREAKER, CHECK VALVE, AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6.00 X $6.00 19 20 MEDICAL GAS (per outlet) MISCELLANEOUS PLUMBING FIXTURE NITROUS, OXYGEN 21 22 PRIVATE SEWAGE DISPOSAL/SYS INDUSTRIAL WASTE INTERCEPTOR METHOD OF PAYMENT: 0 CASH 0 CHECK DATE: AUTHORIZED SIGNATURE: 0 VISA 0 MASTERCARD EXPIRES: X X X X $6.00 $6.00 $20.00 $15.00 SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: REVISED 8/26/05 SPOKAINECoUXIY SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 1 Site Information Project Information Site Address: 17105 E KNOX AVE Parcel Number: 55073.0618 Subdivision: RANGE Block: Lot: Zoning: LINK Unknown Owner: DIAMOND ROCK CONSTR Address: 15321 E MISSION AVE VERADALE, WA 99037 Building Inspector: None Water Dist: Project Number: 07002064 Inv: 1 Issue Date: 4/12/2007 Permit Use: SEWER CONNECTION - FLORA MEADOWS Applicant: DIAMOND ROCK CONSTR 15321 E MISSION AVE VERADALE, WA 99037 Contact: DIAMOND ROCK CONSTR 15321 E MISSION AVE VERADALE, WA 99037 Setbacks - Front: Group Name: Project Name: Left: Right: Phone: (509) 924-8964 Phone: (509) 924-8964 Rear: 1 Permits Sewer Connection Permit Contractor: DIAMOND ROCK CONSTRUCTION License #: DIAMORC032OQ SEWER CONNECTION 1 $85.00 PROCESSING FEE 1 $15.00 Total Permit Fee: $100.00 FOR SEWER INSPECTIONS CALL THE UTILITIES DEPT AT (509) 477-3604 FROM 8:30-5:00 MONDAY -FRIDAY PRIOR TO COVER. ONE WORKING DAY NOTICE REQUIRED. PERMIT ALLOWS FOR A 30 -MINUTE INSPECTION. ADDITIONAL INSPECTION FEES APPLY AFTER 30 MINUTES. THE INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWATER DRAINS ARE CONNECTED TO THE SEWER AND MAY BE REQUIRED TO PERFORM TESTS FOR VERIFICATION. INSTALLER IS TO FIELD LOCATE AND CONFIRM THE ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER EXCAVATION. SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY HAVE ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED TO THE MAIN. SEWER LINES SHOULD BE CONSTRUCTED TO ALLOW FOR GRAVITY FLOW FROM THE LOWEST LEVEL OF THE STRUCTURE. THE INSTALLER AND THIS PERMIT MUST BE PRESENT AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME. BOTH STATE LAW RCW 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO OWNERS OF UNDERGROUND FACILITIES. CALL 1-800-424-5555 BEFORE YOU DIG --AT LEAST 2 WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE REQUIRES THE INSTALLER COMPLY WITH ALL REQUIREMENTS OF THE WA STATE DEPT OF LABOR & INDUSTRIES, INCLUDING THOSE RELATED TO TRENCH SAFETY. Payment Summary Total Fees AmountPaid AmountOwing $100.00 $100.00 $0.00 Tran Date Receipt # Payment Amt 4/12/2007 1737 $100.00 Processed By: DOMPIER, DAWN Printed By: HINTZ, FAITH Page 1 of 1 PERMIT