2003, 12-26 Permit: BLD-03-03336 Plumbing Fixtures i
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Alley PLUMBING PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-03-03336
Job Address: 10215 E 16TH AVE Applied: 12/26/2003
SPOKANE WA 99212 Issued: 01/14/2004
Description: 1 TOILET, 1 TUB,2 SINKS, 1 CROSS CONNECTION Expires: 07/12/2004
Subdivision: Lot: Blk: Parcel No: 45204.3830 Zoning:
Owner: SIEGEL,GERALD M&E RIBA
Applicant: CAPITAL PLUMBING Phone: (208)765-9695
Address: 6456 N GOVERNMENT WAY
DALTON GARDENS, ID 83815
Contractor: CAPITAL PLUMBING Phone: (208)765-9695
Address: 6456 N GOVERNMENT WAY Lic No: CAPITPH981JJ
DALTON GARDENS ID 83815
General Information: Fees:
SUPPLEMENTAL PERMIT N PLUMBING PROCESSING FEE 35.00
TOILETS 1 TOILETS 6.00
TUBS 1 TUBS 6.00
SINKS 2 SINKS 12.00
CROSS CONNECTION DEVICE 1 CROSS CONNECTION DEVICE 6.00
Total Calculated: 65.00
Deposits/Receipts: 65.00
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.
P -me Signature Date
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THIS IS NOT A RECEIPT