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2004, 05-25 Permit: BLD-04-04444 Plumbing Reversal ICTY OF Spode ( � %� �Illli""��Vile'y PLUMBING PERMIT I 11707 E.Sprague Ave.,Suite 106 Spokane Valley,WA 99206 Permit#: BLD-04-04444 Job Address: 6910 E 10TH AVE Applied: 05/25/2004 SPOKANE WA 99212 Issued: 05/25/2004 Description: PLUMBING REVERSAL Expires: 11/21/2004 Subdivision: Lot: Blk: Parcel No: Zoning: Owner: RENEE PETERSON Applicant: ACME EXCAVATING Phone: (509)228-0691 Address: 3021 N LILY RD SPOKANE,WA 99212-1535 Contractor: BELKNAP PLUMBING Phone: (509)921-5913 Address: 3414 S ADAMS RD Lic No: BELKNAP"071 D6 VERADALE WA 99037-9101 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 riot 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. r �c� /741 —as= Print Name Sign ure Date Staff Initials THIS IS NOT A RECEIPT