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2001, 10-12 Permit Application: 01009028 Sewer Connect, Plumbing ReversalProject Number: 01009028 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/12/2001 Page 1 of 2 Project Information: Permit Use: SEWER CONNECTION - EASTON & PLUMBING Contact: VISTA CONSTRUCTION & DEV REVERSAL Address: 3420 N. TSCHIRLEY RD C - S - Z: SPOKANE, WA 99216 Setbacks: Front Left: Right: Rear: Phone: (509) 926 -2243 Group Name: Site Information: Project Name: ................... ............................... Plat Key: 000742 Name: ENLOW SUB District: F Parcel Number: 45163.0123 Block: SiteAddress: 11311 E ALKI AVE SPOKANE, WA USA 99206 Location:: SPO Zoning: UR 3.5 Water District: Area: 12,142 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: ; .......... ............. Urban Residential 3.5 Lot: Owner: Name: BARTH, MARTY & PAULA Address: 11311 E ALKI SPOKANE, WA 99206 -6401 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Road Obstruction ©� de '% tit Permits: Released Contractor: VISTA CONSTRUCTION & Address: 3420 N TSCH RLEY RD #1 SPOKANE, WA 99216 Plumbing Permit Firm: VISTA CONSTRUCTION & DEV Phone: (509) 926 -2243 Item Description Units Unit Desc Fee Amount WATER PIPING - DWV 1 NUMBER OF $6.00 PROCESSING FEE 1 Y OR BLANK $25.00 MINIMUM FEE ADJUSTMENT 1 Select $4.00 Permit Total Fees: $35.00 Operator: MKC Printed By: MKC Print Date: 10/12/2001 Project Number: 01009028 Inv: 1 p"li6:tion THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/12/2001 Page 2 of 2 Sewer Connection Permit Contractor: VISTA CONSTRUCTION & Firm: VISTA CONSTRUCTION & DEV Address: 3420 N TSCHIRLEY RD #1 SPOKANE, WA 99216 Phone: (509) 926-2243 Item Description Units Unit Desc Fee Amount SEWER CONNECTION 1 NUMBER OF $85.00 PROCESSING FEE 1 Y OR BLANK $15.00 Permit Total Fees: $100.00 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Plumbing Permit $35.00 $35.00 $0.00 $35.00 Sewer Connection Permit $100.00 $100.00 $0.00 $100.00 $135.00 $135.00 $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: MKC Printed By: MKC Print Date: 10/12/2001