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2004, 08-05 Permit: BLD-04-07261 Plumbing Reversalrrvr Spokane 40,00Valley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address: Description: Subdivision: Owner: Applicant: Address. Contractor: Address: 1711 N LOCUST RD SPOKANE WA 99212 PLUMBING REVERSAL VAN BROCKLIN, GILBERT R PLUMBING PERMIT Permit #: Applied: Issued: Expires: Lot: Blk: Parcel No: 45083.9011 COURCHAINE CONSTRUCTION Phone: (509) 924-5485 19818 E SPRAGUE AVE GREENACRES, WA 99016 BESTWAY PLUMBING INC 18416 E ALKI AVE GREENACRES WA 99016-9372 Phone: Lic No: (509) 922-1541 BESTW PI044NK BLD -04-07261 Zoning: 08/05/2004 08/05/2004 02/01/2005 General Information: SUPPLEMENTAL PERMIT N WATER PIPING/DRAIN-IN WASTE 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 development rights granted by any issued permit inure to the p .pert �Arita_ 1. (k—* A -k. DP Print Name Signature Staff Initials THIS IS NOT A RECEIPT wner. Date