2004, 11-04 Permit: BLD-04-08123 Plumbing Fixtures*Wane �
.000Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 14918 E MISSION AVE
SPOKANE WA 99212
Description: 1 -REVERSAL
Subdivision:
Owner:
Applicant:
Address:
GUARDIPEE, LUE RAE
PLUMBING PERMIT
Permit #: BLD -04-08123
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45141.1101 Zoning:
GUARDIPEE, LUE RAE Phone:
PO BOX 364
VERADALE, WA 99037 -
Contractor: Phone:
Address: Lic No:
11/04/2004
11/04/2004
05/03/2005
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 inur the property owner.
IP ,r
Print Name Signature
Staff Initials
THIS IS NOT A RECEIPT
ll -4
Date