2002, 01-07 Permit Application: 02000090 Sewer Connect, Plumbing ReversalProject Number: 02000090 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION - EASTON & PLUMBING
REVERSAL
Date: 1/7/2002 Page 1 of 2
Setbacks: Front Left: Right:
Site Information:
.................... .
Plat Key: 001834 Name: OPP.TR. 1 -354
Rear:
Contact: II & S CONSTRUCTION
Address: 11817 E. VALLEYWAY AVE
C - S - Z: SPOKANE WA 99206
Phone: (509) 926 -8964
Group Name:
Project Name:
District: F
Parcel Number: 45163.0124
Block: 1
SiteAddress: 11303 E ALKI AVE
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UR 3.5 Urban Residential 3.5
Water District:
Area: 12,103 Sq Ft
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings:. 0
Review Information: :::............_...................... ...............................
Lot: 5
Owner: Name: POLAND, GLORIA J
Address: 2907 E 15TH AVE
SPOKANE, WA 99223 -5105
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Road Obstruction
Permits:
Released By.�'"` #i
Contractor: JACKSON PLUMBING
Address: P.O. BOX 7272
SPOKANE, WA 99207
Item Description
WATER PIPING - DWV
PROCESSING FEE
MINIMUM FEE ADJUSTMENT
Plumbing Permit
Firm: RANDY JACKSON PLUMBING
Phone: (509) 926 -7101
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
1 Select
Operator: RMB Printed By: RMB
Permit Total Fees:
Print Date:
Fee Amount
$6.00
$25.00
$4.00
$35.00
1/7/2002
Project Number: 02000090 Inv: I
Applicztion
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/7/2002 Page 2 of 2
Sewer Connection Permit
Contractor: H & S CONSTRUCTION Firm: 11 & S CONSTRUCTION
Address: 11817 E VALLEYWAY AVE Phone: (509) 926 -8964
SPOKANE, WA 99206
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
Permit Total Fees:
Fee Amount Invoice Amount
$35.00 $35.00
$100.00 $100.00
$135.00 $135.00
Fee Amount
$85.00
$15.00
Amount Paid
$0.00
$0.00
$100.00
Amount Owing
$35.00
$100.00
$0.00 $135.00
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: RMB Printed By: RMB
Print Date: 1/7/2002