2004, 03-22 Permit: BLD-04-03849 Piping CtTk'(1F' ��
Spokane
4000,Ma.11ey PLUMBING PERMIT
11707 E.Sprague Ave.,Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-03849
Job Address: 6614 E 7TH AVE Applied: 03/22/2004
SPOKANE VALLEY WA 99212 Issued: 03/22/2004
Description: ADDITIONAL WASTE PIPE IN BASEMENT FOR SEWER CONNECTION AND 3- Expires: 09/18/2004
BACK FLOW VALVES
Subdivision: Lot: Blk: Parcel No: Zoning:
Owner: RAMOTOWSKI,ADAM
Applicant: RAMOTOWSKI,ADAM Phone: (509)534-9759
Address: 6614 E 7TH AVE
SPOKANE VALLEY,WA 99212
Contractor: J &S PLUMBING Phone: (509)928-9444
Address: 4113 N MOLTER RD Lic No: JSPLU**107QL
OTIS ORCHARDS WA 99027
General Information: Fees:
SUPPLEMENTAL PERMIT N PLUMBING PROCESSING FEE 35.00
WATER PIPING/DRAIN-IN WASTE 1 WATER PIPING/DRAIN-IN WASTE 6.00
CROSS CONNECTION DEVICE 3 CROSS CONNECTION DEVICE 18.00
Total Calculated: 59.00
Deposits/Receipts: 59.00
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 theproperty owner.
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Print Name Signature Dat
Staff Initials
THIS IS NOT A RECEIPT