2004, 07-08 Permit: BLD-04-07040 Plumbing Fixtures CITY(1F o�4•••,\40,Sple
.0•00 alley PLUMBING PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-07040
Job Address: 7122 E 12TH AVE Applied: 07/08/2004
SPOKANE VALLEY WA 99212 Issued: 07/08/2004
Description: TOILET, SINK AND SHOWER(ADDITION TO PERMIT#04-4242) Expires: 01/04/2005
Subdivision: Lot: BIk: Parcel No: Zoning:
Owner: SEMENCHA, SERGEY&RUFA
Applicant: SEMENCHA, SERGEY&RUFA Phone: (509)484-9189
Address: 3724 N COOK ST C211
SPOKANE,WA 99207
Contractor: Phone:
Address: Lic No:
General Information: Fees:
SUPPLEMENTAL PERMIT Y PLUMBING PROCESSING FEE 7.50
TOILETS 1 TOILETS 6.00
SHOWERS(PER TRAP) 1 SHOWERS 6.00
SINKS 1 SINKS 6.00
Total Calculated: 25.50
Deposits/Receipts: 25.50
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 rty owner.
Print Name Sign. - Date
Staff Initials
THIS IS NOT A RECEIPT