2004, 06-21 Permit: BLD-04-04671 Lawn Sprinkler4.000Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 14318 E MAIN AVE
SPOKANE VALLEY WA 99216
Description: LAWN SPRINKLER SYSTEM
Subdivision:
Owner:
Applicant:
Address:
COOK, JOSHUA
PLUMBING PERMIT
Permit #: BLD -04-04671
Applied: 06/21/2004
Issued: 06/21/2004
Expires: 12/18/2004
Lot: Blk: Parcel No: Zoning:
COOK, JOSHUA Phone: (509) 926-1822
14318 E MAIN AVE
SPOKANE VALLEY, WA 99216
Contractor: Phone:
Address: Lic No:
General Information:
SUPPLEMENTAL PERMIT
CROSS CONNECTION DEVICE
N
1
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 eview at the City of Spokane Valley Permit Center. 5) This City of
Spokane Valley Permit is not a permit or approval for any viplat[on of fgderal, tate or local laws, codes or ordinances.
Ownership of resulting development rights granted by any issued
Print Name
Staff Initials
the property owner.
Signa re
THIS IS NOT A RECEIPT
Dat