2004, 03-04 Permit: BLD-04-03688 Plumbing Reversal CJ7k OFe
.0001/alley PLUMBING PERMIT
11707 E.Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-03688
Job Address: 2421 N WILBUR RD Applied: 03/04/2004
SPOKANE WA 99206-4743 Issued: 03/04/2004
Description: PLUMBING REVERSAL FOR SEWER CONNECTION Expires: 08/31/2004
Subdivision: Lot: Blk: Parcel No: 45091.2109 Zoning:
Owner: KNOWLES,JENE
Applicant: INLAND NW EXCAVATORS Phone: (509)994-5654
Address: PO BOX 11932
SPOKANE,WA 99201
Contractor: INLAND NW EXCAVATING Phone: (509)994-5654
Address: PO BOX 11932 Lic No: INLANNE973QK
SPOKANE WA 99201
General Information: Fees:
SUPPLEMENTAL PERMIT N PLUMBING PROCESSING FEE 35.00
WATER PIPING/DRAIN-IN WASTE 1 WATER PIPING/DRAIN-IN WASTE 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 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.
49411,/
Print Name Signature Date
Staff Initials
THIS IS NOT A RECEIPT