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2002, 09-23 Permit App: 02008229 Sewer, Plumbing ReversalProject Number: 02008229 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/23/02 Project Information: Permit Use: REVERSAL/SEWER CONNECT/HUTCHINSON Contact: Z BEST CONSTRUCTION Address: P.O. BOX 13421 C - S - Z: SPOKANE WA 99213 Setbacks: Front Left: Right: Rear: Phone: (509) 891-9949 Group Name: Site Information: Project Name: Plat Key: 001625 Name: MICHIELLI PARK District: F Parcel Number: 45181.0825 Block: Lot: SiteAddress: 8603 E BOONE AVE Owner: Name: BAGBY, MARCIE A SPOKANE, WA USA 99212 Address: 8606 E BOONE AVE Location:: SPO SPOKANE, WA 99212-2691 Zoning: UNKN Unknown Water District: Hold: ❑ Area: 13,157 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Review Road Obstruction as SL7.466' Permits: Contractor: BELKNAP PLUMBING Address: 3414 S ADAMS RD VERADALE, WA 99037 Item Description WATER PIPING - DWV PROCESSING FEE MINIMUM FEE ADJUSTMENT Released By: Page 1 of 2 Plumbing Permit Firm: BELKNAP PLUMBING Phone: (509) 921-5913 Units Unit Desc 1 NUMBER OF 1 Y OR BLANK 1 Select Operator: JAS Printed By: JAS Permit Total Fees: Fee Amount $6.00 $25.00 $4.00 $35.00 Print Date: 9/23/02 Project Number: 02008229 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/23/02 Page 2 of 2 Sewer Connection Permit Contractor: Z BEST CONSTRUCTION Firm: Z BEST CONSTRUCTION Address: P 0 BOX 13241 AVE Phone: (509) 891-9949 SPOKANE, WA 99213-3241 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 $35.00 $100.00 $135.00 Permit Total Fees: Invoice Amount $35.00 $100.00 $135.00 Fee Amount $85.00 $15.00 $100.00 Amount Paid $0.00 $0.00 $0.00 Amount Owing $35.00 $100.00 $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 construed 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: JAS Printed By: JAS Print Date: 9/23/02