2004, 09-29 Permit: BLD-04-07805 Plumbing Reversal, Fixtures d
Spokane
,.,,/10Valley PLUMBING PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-07805
Job Address: 1122 N RUDOLF RD Applied: 09/29/2004
SPOKANE WA 99212 Issued: 09/29/2004
Description: PLUMBING ALTERATION, TOILET, SINK AND SHOWER Expires: 03/28/2005
Subdivision: Lot: Blk: Parcel No: 45172.1332 Zoning:
Owner: DENNEY, DAVID G&CHERYL A
Applicant: DENNEY, DAVID G&CHERYL A Phone: (509)922-5001
Address: 1122 N RUDOLPH RD
SPOKANE,WA 99206
Contractor: Phone:
Address: Lic No:
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 thisrisaction. 4)All construction is to be done in full compliance with the City of
Spokane Valley Development Code. Referenced codes are av ilable 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 violatioh of federal,state or local I-,r codes or ordinances.
1
Ownership of resulting development rights granted by any issued permit i ure to the�r pe f • -r.
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Print Name Signature Date
Staff Initials
THIS IS NOT A RECEIPT