2004, 04-06 Permit: BLD-04-03982 Plumbing ReversalSpokane
valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 11705 E MAXWELL AVE
SPOKANE WA 99206-4868
Description: PLUMBING REVERSAL
Subdivision:
Owner:
Applicant:
Address'
Contractor:
Address:
JOHNSON, ROGER& CECELIA
PLUMLINf PERMIT
Permit #: BLD -04-03982
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45161.0113 Zoning:
VIETZKE EXCAVATING CO Phone: (509) 244-9607
2011 S CRAIG RD
MEDICAL LAKE, WA 99001
VIETZKE EXCAVATING CO
2011 S CRAIG RD
MEDICAL LAKE WA 99001
Phone:
Lic No:
(509) 244-9607
VIETZEC121MA
04/06/2004
04/06/2004
10/03/2004
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 inure to the property owner.
(PelACLUI Sdit LVA "039JCL
Print Name
Staff Initials
LI—G -c9
Signature Date
THIS IS NOT A RECEIPT