2004, 06-10 Permit: BLD-04-04579 Sprinkler SystemSpiokane
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11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 14827E 24TH
VERADALE WA 99037
Description: SPRINKLER SYSTEM
OWNER CONTRACTOR
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
RENNAKER, TRACI L
PLUMBING PERMIT
Permit #: BLD -04-04579
Applied: 06/10/2004
Issued: 06/10/2004
Expires: 12/07/2004
Lot: Blk: Parcel No: Zoning:
RENNAKER, TRACI L Phone:
14827E 24TH
VERADALE, WA 99037
Phone:
Lic No:
General Information:
SUPPLEMENTAL PERMIT
CROSS CONNECTION DEVICE
N
1
Fees:
PLUMBING PROCESSING FEE
CROSS CONNECTION DEVICE
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 permit inure to the property owner.
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Print Name
Staff Initials
Signature
THIS IS NOT A RECEIPT
Date