2004, 11-02 Permit: BLD-04-08116 Plumbing Reversalecru r�r �M��
Spokane
4,/'0 Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 923 N SAINT CHARLES RD
VERADALE WA 99037-8504
Description: PLUMBING REVERSAL
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
SALOM, SCOTT
PLUMBING PERMIT
Lot: Blk: Parcel No:
Z BEST CONSTRUCTION Phone: (509) 891-9949
PO BOX 13241
SPOKANE, WA 99213
BELKNAP PLUMBING
3414 S ADAMS RD
VERADALE WA 99037-9101
Phone:
Lic No:
Permit #:
Applied:
Issued:
Expires:
(509) 921-5913
BELKNAP"071 D6
BLD -04-08116
Zoning:
11/02/2004
11/02/2004
05/01/2005
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.
Own
ership of result g development rights granted by any issued permit inure to the property ow
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Name
Staff Initials
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THIS IS NOT A RECEIPT