2004, 01-28 Permit BLD-04-03472 Plumbing Fixturesf1'AF'
Spftokane
41 . Mt ley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 14318 E BROADWAY AVE
SPOKANE WA 99216-2028
Description: TOILET, SHOWER, SINK
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
MARY MARTIN
PLUMBING PERMIT
Permit #:
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: 45143.0510
ACME EXCAVATING Phone: (509) 228-0691
3021 N LILY RD
SPOKANE, WA 99212-1535
BELKNAP PLUMBING
3414 S ADAMS RD
VERADALE WA 99037-9101
Phone:
Lic No:
(509) 921-5913
BELKNAP*071 D6
BLD-04-03472
Zoning:
01/28/2004
01/28/2004
07/26/2004
General Information:
SUPPLEMENTAL PERMIT
TOILETS
SHOWERS (PER TRAP)
SINKS
N
1
1
1
Fees:
PLUMBING PROCESSING FEE
TOILETS
SHOWERS
SINKS
35.00
6.00
6.00
6.00
Total Calculated: 53.00
Deposits/Receipts: 53.00
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.
Print Name Signature
Date
Staff Initials
THIS IS NOT A RECEIPT