2003, 10-31 Permit: BLD-03-02959 Plumbing Reversal*Wane
aosUalley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 6505 E 9TH AVE
SPOKANE VALLEY WA 99212
Description: PLUMBING REVERSAL FOR SEWER
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
SMITH, DALE E 8 TINA V
PLUMBING PERMIT
Lot: Blk: Parcel No:
SMITH, DALE E 8 TINA V Phone: (509) 533-0349
6505 E 9TH AVE
SPOKANE VALLEY, WA 99212
Phone:
Lic No:
Permit#: BLD -03-02959
Applied: 10/31E2003
Issued: 10/31/2003
Expires: 04/28/2004
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:
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
DAL e . S,' 4-I.
Print Name Ignature
Staff Initials
11 nure to the property ow r.
THIS I5 NOT A RECEIPT
/D-3/'To
Date