2003, 07-31 Permit: BLD-03-02117 Plumbing Reversalan ar7�
ane
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
PLUMBING PERMIT
Job Address: 11122 E VALLEYWAY AVE
SPOKANE WA 99206-5056
Description: PLUMBING REVERSAL FOR SEWER CONNECTION
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
Lot: Blk: Parcel No:
FOWLKES, CINDA
FOWLKES, CINDA Phone:
11122 E VALLEYWAY AVE
SPOKANE, WA 99206-5056
Phone:
Lic No:
Permit #: BLD -03-02117
Applied: 07/31/2003
Issued: 07/31/2003
Expires: 01/2712004
Zoning:
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.
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations goveming this type of work will be in
compliance. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the
provisions of the code or of any other state or local laws or ordinances.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
Applicant
Please print name here
Date Counter Approval