2004, 10-05 Permit: BLD-04-07849 Plumbing Reversal C71`F OF 0• _ i .+•
Spokane
.000 Valley PLUMBING PERMIT
11707 E. Sprague Ave., Suite 106
Spokane Valley,WA 99206 Permit#: BLD-04-07849
Job Address: 12124 E 26TH AVE Applied: 10/05/2004
SPOKANE WA 99206-5795 Issued: 10/05/2004
Description: PLUMBING REVERSAL Expires: 04/03/2005
Subdivision: Lot: Bik: Parcel No: 45284.1004 Zoning:
Owner: WILSON, LINDA L&GUR R
Applicant: A-1 DRAIN&SEWER SERVICE Phone: (509)218-4121
Address: PO BOX 1586
SPOKANE VALLEY,WA 99037
Contractor: JERRY'S PLUMBING Phone: (509)926-5610
Address: 106 S BARKER RD Lic No: JERRYP`138NO
GREENACRES WA 99016-9704
General Information: Fees:
SUPPLEMENTAL PERMIT N PLUMBING PROCESSING FEE 35.00
WATER PIPING/DRAIN-IN WASTE 1 WATER PIPING/DRAIN-IN WASTE 6.00
Total Calculated: 41.00
Deposits/Receipts: 41.00
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 feder. a z,or local laws,codes or ordinances.
Owne 'p of resulting development rights granted by any issued pe it inu • o the property o -r.
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17?/-5/9
Print ame Signature— Date
Staff Initials
THIS IS NOT A RECEIPT