2004, 08-25 Permit: BLD-04-07452 Plumbing FixturesSp 'lane
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PLUMBING PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206 Permit #: BLD -04-07452
Job Address: 18313 E RIVERWAY AVE Applied: 08/25/2004
GREENACRES WA Issued: 08/27/2004
Description: Expires: 02/23/2005
Subdivision: Lot: Blk: Parcel No: Zoning:
Owner: RICK BURG
Applicant: FOREVER GREEN SPRINKLERS Phone: (509) 489-1234
Address: PO BOX 6441
SPOKANE, WA 99016
Contractor: FOREVER GREEN SPRINKLERS Phone:
Address: PO BOX 6441 Lic No:
SPOKANE WA 99217
General Information: Fees:
SUPPLEMENTAL PERMIT N PLUMBING PROCESSING FEE 35.00
CROSS CONNECTION DEVICE 1 CROSS CONNECTION DEVICE 6.00
Total Calculated: 41.00
Deposits/Receipts: 41.00
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 ishvill
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.
Signature
THIS IS NOT A RECEIPT
Date