2004, 02-19 Permit: BLD-04-03583 Mechanical Fixtures GT1OF' ��
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.00.'�Va11ey PLUMBING PERMIT
11707 E.Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-03583
Job Address: 1019 N RUDOLF RD Applied: 02/19/2004
SPOKANE WA 99212 Issued: 02/19/2004
Description: SINK&CLOTHESWASHER CONNECTION INTO NEW SEWER LINE Expires: 08/17/2004
Subdivision: Lot: BIk: Parcel No: 45172.1337 Zoning:
Owner: ALLEN, MELVIN D&L K
Applicant: ALLEN, MELVIN D&L K Phone: (509)928-4268
Address: 1102 N LOCUST RD
SPOKANE,WA 99206-4078
Contractor: Phone:
Address: Lic No:
General Information: Fees:
SUPPLEMENTAL PERMIT N PLUMBING PROCESSING FEE 35.00
SINKS 1 SINKS 6.00
CLOTHES WASHER 1 CLOTHES WASHER 6.00
Total Calculated: 47.00
Deposits/Receipts: 47.00
Total Due: 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 iss_ed per r it inure to the owner.
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Print Name Signatu 410 Date
Staff Initials
THIS IS NOT A RECEIPT