2004, 08-11 Permit: BLD-04-07357 Plumbing Reversal, Fixtures ,
iTY OF � � .,
.000Milley PLUMBING PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-07357
Job Address: 1105 N RUDOLF RD Applied: 08/11/2004
SPOKANE WA 99212 Issued: 08/11/2004
Description: TOILET, SHOWER, SINK&PLUMB REVERSAL Expires: 02/07/2005
Subdivision: Lot: Blk: Parcel No: 45172.1335 Zoning:
Owner: HANSEN, PHILLIP B&JONNIE I
Applicant: COURCHAINE CONSTRUCTION Phone: (509)924-5485
Address: 19818 E SPRAGUE AVE
GREENACRES,WA 99016
Contractor: COURCHAINE CONSTRUCTION Phone: (509)924-5485
Address: 19818 E SPRAGUE AVE Lic No: COURCC*181R7
GREENACRES WA 99016
General Information: Fees:
SUPPLEMENTAL PERMIT N PLUMBING PROCESSING FEE 35.00
TOILETS 1 TOILETS 6.00
SHOWERS(PER TRAP) 1 SHOWERS 6.00
SINKS 1 SINKS 6.00
WATER PIPING/DRAIN-IN WASTE 1 WATER PIPING/DRAIN-IN WASTE 6.00
Total Calculated: 59.00
Deposits/Receipts: 59.00
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 is ermit inure to t - prope • �'r.
, 'Print Name Signa ure P.te
Staff Initials
THIS IS NOT A RECEIPT