2004, 05-11 Permit: BLD-04-04330 Plumbing FixturesSpokane
4,,OMalley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
PLUMBING PERMIT
Job Address: 11918 E VALLEYWAY AVE
SPOKANE WA 99206-5129
Description: TOILET, SINK, SHOWER AND PLUMBING REVERSAL
Subdivision: Lot:
Owner:
Applicant:
Address:
Contractor:
Address:
CLEMONS, RUSSELL
NORM'S EXCAVATING INC
PO BOX 574
VERADALE, WA 99037
BELKNAP PLUMBING
3414 S ADAMS RD
VERADALE WA 99037-9101
Blk: Parcel No:
Phone: (509) 928-0580
Phone:
Lic No:
(509) 921-5913
BELKNAP*071 D6
Permit #:
Applied:
Issued:
Expires:
BLD -04-04330
Zoning:
05/11/2004
05/11/2004
11/07/2004
General Information:
SUPPLEMENTAL PERMIT
TOILETS
TUBS
SHOWERS (PER TRAP)
WATER PIPING/DRAIN-IN WASTE
N
1
1
1
1
Fees:
PLUMBING PROCESSING FEE
TOILETS
TUBS
SHOWERS
WATER PIPING/DRAIN-IN WASTE
Total Calculated:
Deposits/Receipts:
Total Due:
35.00
6.00
6.00
6.00
6.00
59.00
59.00
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.
Ownership of resulting development rights granted by any issued permit inure to the property owner.
/(.
Date
Print Name
Sta Initials
Signature
THIS IS NOT A RECEIPT