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2002, 03-04 Permit Application: 02001326 Sewer Connect, Toilet, Sink, Shower ReversalProject Number: 02001326 Inv: 1 • Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 3/4/2002 Page 1 of 2 Project Information: .............................................................. ............................... Permit Use: SEWER CONNECTION - VALLEY VISTA, TOILET, SINK, SHOWER, PL REVERSAL Setbacks: Front Left: Right: Rear: Site Information: .................................. ............................... ................................. ............................... Plat Key: 000400 Name: CLACK'S ADD. Contact: VISTA CONSTRUCTION & DEV Address: 3420 N. TSCHIRLEY RD C - S - Z: SPOKANE, WA 99216 Phone: (509) 926 -2243 Group Name: Project Name: District: Parcel Number: 45174.0515 Block: SiteAddress: 10415 E ALKI AVE SPOKANE, WA 99206 Location:: SPO Zoning: UR 3.5 Water District: Area: 0 Sq Ft Nbr of Bldgs: 2 Review Information: Urban Residential 3.5 Lot: Owner: Name: Address: MCLEAN, JAMES & SHERRY 10415 E ALKI AVE SPOKANE, WA 99206 Hold: ❑ Width: 78 Depth: 146 Right Of Way (ft): 40 Nbr of Dwellings: 1 Review Road Obstruction Permits: Released B3 -oa. `3&5 /o3 Contractor: VISTA CONSTRUCTION & Address: 3420 N TSCHIRLEY RD #1 SPOKANE, WA 99216 Item Description TOILETSBIDETS SINKS SHOWERS WATER PIPING - DWV PROCESSING FEE Plumbing Permit Units 1 1 1 1 1 Operator: DMD Printed By: DMD Firm: VISTA CONSTRUCTION & DEV Phone: (509) 926 -2243 Unit Desc NUMBER OF NUMBER OF NUMBER OF NUMBER OF Y OR BLANK Permit Total Fees: Print Date: Fee Amount $6.00 $6.00 $6.00 $6.00 $25.00 $49.00 3/4/2002 Project Number: 02001326 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 3/4/2002 Page 2 of 2 Sewer Connection Permit Contractor: VISTA CONSTRUCTION & Firm: VISTA CONSTRUCTION & DEV Address: 3420 N TSCHIRLEY RD #1 Phone: (509) 926 -2243 SPOKANE, WA 99216 Item Description SEWER CONNECTION PROCESSING FEE Notes: :.................. ............................... Payment Summary::;:; ............. Permit Type Plumbing Permit Sewer Connection Permit Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Fee Amount $85.00 $15.00 Permit Total Fees: $100.00 Fee Amount Invoice Amount Amount Paid Amount Owing $49.00 $49.00 $0.00 $49.00 $100.00 $100.00 $0.00 $100.00 $149.00 $149.00 $0.00 $149.00 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be contrued to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: DMD Printed By: DMD Print Date: 3/4/2002