2004, 09-02 Permit: BLD-07551 Cross ConnectSpokane
.0,00Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 14903 E 24TH AVE
SPOKANE VALLEY WA 99037
Description: 1 -DOUBLE CHECK VALVE
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
SCHOLTENS, TOM & LAURA
PLUMBING PERMIT
Lot: Blk: Parcel No:
HAASE LANDSCAPE INC Phone: (509) 926-7950
12202 E THORPE RD
SPOKANE, WA 99212
HAASE LANDSCAPE INC
12202 E THORPE RD
SPOKANE WA 99212
Phone:
Lic No:
(509) 926-7950
HAASELI042R6
Permit #:
Applied:
Issued:
Expires:
BLD -04-07551
Zoning:
09/02/2004
09/02/2004
03/01/2005
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.
Print Name
Staff Initials
Signature
THIS IS NOT A RECEIPT
9//D y
Date