2004, 10-30 Permit: BLD-04-08108 Plumbing Reversal, FixturesS okane
valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address:
Description:
12111 E MAXWELL AVE
SPOKANE WA 99206
PLUMBING PERMIT
1 -TOILET, 1 -SHOWER, 1 -SINK, 1 -REVERSAL
Subdivision: Lot:
Owner:
Applicant:
Address:
Contractor:
Address•
HOGSTROM, CLAYTON S
BELKNAP PLUMBING
3414 S ADAMS RD
VERADALE, WA 99037-9101
BELKNAP PLUMBING
3414 S ADAMS RD
VERADALE WA 99037-9101
Permit #:
Applied:
Issued:
Expires:
Blk: Parcel No: 45161.0124
Phone: (509) 921-5913
Phone: (509) 921-5913
Lic No: BELKNAP*071D6
BLD -04-08108
Zoning:
10/30/2004
10/30/2004
04/28/2005
General Information:
SUPPLEMENTAL PERMIT
TOILETS
SHOWERS (PER TRAP)
SINKS
WATER PIPING/DRAIN-IN WASTE
N
1
1
1
1
Fees:
PLUMBING PROCESSING FEE
TOILETS
SHOWERS
SINKS
WATER PIPING/DRAIN-IN WASTE
Total Calculated:
Deposits/Receipts:
Total Due:
35.00
6.00
6.00
6.00
6.00
59.00
59.00
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.
I013t�by
Signature Date
THIS IS NOT A RECEIPT