2004, 04-07 Permit: BLD-04-04003 Plumbing FixturesSpailkane
,,,,. Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
PLUMBING PERMIT
Job Address: 11801 E MISSION AVE
SPOKANE WA 99212
Description: TOILET, SINK, SHOWER AND PLUMBING REVERSAL
Subdivision: Lot:
Owner:
Applicant:
Address:
Contractor:
Address:
DARREN NELSON
ACME EXCAVATING
3021 N LILY RD
SPOKANE, WA 99212-1535
BELKNAP PLUMBING
3414 S ADAMS RD
VERADALE WA 99037-9101
Permit #:
Applied:
Issued:
Expires:
Blk: Parcel No: 45094.0123
Phone: (509) 228-0691
Phone:
Lic No:
(509) 921-5913
BELKNAP"071 D6
BLD -04-04003
Zoning:
04/07/2004
04/07/2004
10/04/2004
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.
Print Name Signature
Staff Initials
THIS IS NOT A RECEIPT
•
Date