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2003, 11-03 Permit: BLD-03-02963 Plumbing ReversalSpokane Valley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 Job Address: Description: Subdivision: Owner: Applicant: Address: Contractor: Address: 10525 E MAXWELL AVE SPOKANE WA 99206-3920 PLUMBING REVERSAL HOGLAN, KELLY J PLUMBING PERMIT Permit #: Applied: Issued: Expires: Lot: Blk: Parcel No: 45171.0111 BELKNAP PLUMBING Phone: (509) 921 15913 3414 S ADAMS RD VERADALE, WA 99037-9101 BELKNAP PLUMBING 3414 S ADAMS RD VERADALE WA 99037-9101 Phone: (509) 921-5913 Lic No: BELKNAP*071D6 BLD -03-02963 Zoning: 11/03/2003 11/03/2003 05/01/2004 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 property WOM/AS�m Print Name '-. Signature Staff Initials ner. THIS IS NOT A RECEIPT /1/3 6 Date