2003, 07-21 Permit: BLD-03-02058 Plumbing FixturesSO:Wane
a
Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
4S -
PLUMBING - RESIDENTIAL
Job Address: 5009 N LARCH RD
SPOKANE WA 99216-3527
Description: 1 TOILET, 1 TUB, 1 SINK, 1 CLOTHES WASHER, 1 FLOOR DRAIN
Subdivision:
Owner.
Applicant:
Address:
Contractor:
Address:
BARTHOLOMEW, MICHAEL A
GOLD SEAL SERVICE
5524 E BOONE AVE
SPOKANE, WA 99212-0903
GOLD SEAL SERVICE
5524 E BOONE AVE
SPOKANE WA 99212-0903
Lot No:
Phone: (509) 535-5946
Phone:
Lic No:
(509) 535-5946
GOLDSS'1330S
Permit #:
Applied:
Issued:
Expires:
BLD -03-02058
07/21/2003
07/21/2003
01/17/2004
General Information:
SUPPLEMENTAL PERMIT
TOILETS
TUBS
SINKS
CLOTHES WASHER
FLOOR DRAINS
N
1
1
1
1
1
Fees:
PLUMBING PROCESSING FEE
TOILETS
TUBS
SINKS
CLOTHES WASHER
FLOOR DRAINS
Total Calculated:
Deposits/Receipts:
Total Due:
35.00
6.00
6.00
6.00
6.00
6.00
65.00
65.00
0.00
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 goveming this type of work will be in
compliance. 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.
Ownership of resulting development rights granted by any issued p
Applicant
Please print name here
t i . r- o e property owner.
Date Counter Approval