2004, 03-19 Permit BLD-04-03824 SewerSpokane
.0,00Valley
11707 E. Sprague Ave., Suite 106
Spokane Valley, WA 99206
Job Address: 9212 E CATALDO AVE
SPOKANE WA 99206-4068
Description: SEWER CONNECTION
Subdivision:
Owner:
Applicant:
Address:
Contractor:
Address:
IRVIN, RAYMOND W
PLUMBING PERMIT
Permit #: BLD-04-03824
Applied:
Issued:
Expires:
Lot: Blk: Parcel No: Zoning:
IRVIN, RAYMOND W Phone: (509) 927-0571
9212 E CATALDO AVE
SPOKANE, WA 99206-4068
Phone:
Lic No:
03/19/2004
03/19/2004
09/15/2004
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 VaI1ey-P\ermit 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 or mances.
Ownership of resulting development rights granted by any issued permit 'nure to thowner.
Print Name Signature
Date
Staff Initials
THIS IS NOT A RECEIPT