2004, 09-21 Permit: BLD-04-07703 Plumbing Reversalr
*Mime
.0001cValley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
Subdivision:
Owner:
Applicant:
Address:
1023 N MAMER RD
SPOKANE WA99216-1109
1 -REVERSAL
WILLIAMS, FIELDEN C
PLUMBING PERMIT
Permit #:
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45151.1103
45151.2002
WILLIAMS, FIELDEN C Phone:
1023 N MAMER RD
SPOKANE, WA 99216-1109
Contractor: Phone:
Address: Lic No:
BLD -04-07703
Zoning:
09/21/2004
09/21/2004
03/20/2005
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 development rights granted by any issued permit r to the p .perty owner.
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Print Name
Staff Initials
Sign
ture
THIS IS NOT A RECEIPT
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Date