2002, 07-15 Permit App: 02005843 Sewer, Plumbing FixturesProject Number: 02005843 Inv: 1
App11L,Lion
Date: 7/15/02 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION - EASTON / TOILET,
SHOWER, SINK, REVERSAL
Setbacks: Front
Left: Right:
Rear:
Site Information:
Plat Key: 002738 Name: VALLEY VISTA SUB
Parcel Number: 45084.0428
Block:
SiteAddress: 1807 N BALFOUR RD
SPOKANE, WA 99206
Location:: SPO
Zoning: AGSUB
Water District:
Area: 0 Sq Ft Width: 65
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction
02$CC5h'1
Permits:
Contractor: BELKNAP PLUMBING
Address: 3414 S. ADAMS RD
VERADALE, WA 99037
Item Description
TOILETSBIDETS
SINKS
SHOWERS
WATER PIPING - DWV
PROCESSING FEE
Units
1
1
1
Operator: CKF Printed By: CKF
Contact:
Address:
C - S - Z:
Phone:
Group Name:
Project Name:
NORM'S EXCAVATING
P.O. BOX 574
VERADALE, WA 99037
(509) 928-0580
District: E
Lot:
Owner: Name: GONDER, THOMAS
Address: 1807 N BALFOUR RD
SPOKANE, WA 99206
Hold: ❑
Depth: 137 Right Of Way (ft): 0
Released By:
Plumbing Permit
Firm: BELKNAP PLUMBING
Phone: (509) 921 -5913
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
7/15/02
Project Number: 02005843 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/15/02 Page 2 of 2
Sewer Connection Permit
Contractor: NORM'S EXCAVATING Firm: NORM'S BOBCAT SERVICE
Address: PO BOX 574 Phone: (509) 928 -0580
VERADALE, WA 99037
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
$49.00 $49.00
$100.00 $100.00
$149.00 $149.00
Fee Amount
$85.00
$15.00
$100.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$49.00
$100.00
$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: CKF
Printed By: CKF Print Date:
7/15/02