2003, 11-03 Permit BLD-03-02964 Plumbing ReversalSpokane
1,.Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
PLUMBING PERMIT
Job Address: 9405 E BROADWAY AVE
SPOKANE WA 99212
Description: PLUMBING REVERSAL FOR FUTURE SEWER CONNECTION
OWNER CONTRACTOR
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
ZERBIN, EWALD& KRYSTYNA
Permit #: BLD-03-02964
Lot: Blk: Parcel No: 45172.1210
ZERBIN, EWALD& KRYSTYNA Phone: (509) 928-7195
9516 E MISSION AVE
SPOKANE, WA 99206-4047
Phone:
Lic No:
Applied: 11/03/2003
Issued: 11/03/2003
Expires: 05/01/2004
Zoning:
General Information:
SUPPLEMENTAL PERMIT
WATER PIPING/DRAIN-IN WASTE
1
Fees:
PLUMBING PROCESSING FEE
WATER PIPING/DRAIN-IN WASTE
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.
r-• / A- L- _z) i /1-3
Print Name Signature
Date
Staff Initials
THIS IS NOT A RECEIPT