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2004, 06-04 Permit BLD-04-04494 Plumb ReversalSpokane Valley 11707 E. Sprague Ave., Suite 106 Spokane Valley, WA 99206 PLUMBING PERMIT Job Address. 4410 E 2ND AVE SPOKANE VALLEY WA 99212 Description: PLUMBING REVERSAL UNDER MOBILE HOME FOR SEWER CONNECTION Subdivision: Owner: Applicant: Address: Contractor: Address. Lot: Blk: Parcel No: MOORE, LUCY MOORE, LUCY Phone: 4410 E 2ND AVE SPOKANE VALLEY, WA 99212 Phone: Lic No: Permit #: Applied: Issued: Expires: BLD-04-04494 Zoning: 06/04/2004 06/04/2004 12/01/2004 General Information: SUPPLEMENTAL PERMIT WATER PIPING/DRAIN-IN WASTE N 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. t 4t y %fted Print Nanle Staff Initials iiec Si natur& Date THIS IS NOT A RECEIPT