2004, 04-23 Permit: BLD-04-04189 Plumbing Fixtures CITY flE
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4,000Valley PLUMBING PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-04189
Job Address: 5925 E 17TH AVE Applied: 04/23/2004
SPOKANE WA 99212 Issued: 04/23/2004
Description: TOILET, SHOWER,SINK, DISHWASHER Expires: 10/20/2004
Subdivision: Lot: Blk: Parcel No: Zoning:
Owner: BERTHA BOOTH-HANSON
Applicant: GLENROSE PLUMBING/HEATING INC Phone: (509)487-3010
Address: PO BOX 7208
SPOKANE,WA 99207
Contractor: GLENROSE PLUMBING/HEATING INC Phone: (509)487-3010
Address: PO BOX 7208 Lic No: GLENRPH088NF
SPOKANE WA 99207
General Information: Fees:
SUPPLEMENTAL PERMIT N SEWAGE EJECTOR 6.00
TOILETS 1 PLUMBING PROCESSING FEE 35.00
SHOWERS(PER TRAP) 1 TOILETS 6.00
SINKS 1 SHOWERS 6.00
DISHWASHER 1 SINKS 6.00
SEWAGE EJECTOR 1 DISHWASHER 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.rint y ) Signature GOW
Staff Initials!
THIS IS NOT A RECEIPT