2002, 06-07 Permit App: 02004537 Sewer, Plumbing Fixtures, ReversalProject Number: 02004537 Inv: 1
"Appiication
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/7/02 Page 1 of 2
Project In formation:
Permit Use: SEWER CONNECTION - MISSION / TOILET, Contact: ALLIED SEWER & BORING
SHOWER, REVERSAL Address: 9317 S FREEMAN DR
C - S - Z: MEDICAL LAKE, WA 99022
Setbacks: Front Left: Right: Rear: Phone: (509) 924-8508
Group Name:
Site Information: Project Name:
Plat Key: 002816 Name: WALNUT ADD District: F
Parcel Number: 45172.1032 Block: 1 Lot: 3
SiteAddress: 9404 E BOONE AVE
SPOKANE, WA USA 99206
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: 18,800 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Road Obstruction
oR.StN44i
Permits:
Owner: Name: ANDERSON, F C
Address: 9404 E BOONE AVE
SPOKANE, WA 99206-4005
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Released By:
Plumbing Permit
Contractor: BESTWAY PLUMBING Firm: BESTWAY PLUMBING
Address: 18416 E ALKI AVE Phone: (509) 922-1541
GREENACRES, WA 99016
Item Description Units Unit Desc Fee Amount
TOILETS/BIDETS 1 NUMBER OF $6.00
SHOWERS 1 NUMBER OF $6.00
PROCESSING FEE 1 Y OR BLANK $25.00
Operator: CKF Printed By: CKF
Permit Total Fees: $37.00
Print Date: 6/7/02
Project Number: 02004537 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/7/02 Page 2 of 2
Sewer Connection Permit
Contractor: ALLIED SEWER BORING Firm: ALLIED SEWER BORING COMPA
Address: 9317 S FREEMAN DR Phone: (509) 924-8508
MEDICAL LAKE, WA 99022
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
$37.00
$100.00
$137.00
Permit Total Fees:
Invoice Amount
$37.00
$100.00
$137.00
Fee Amount
$85.00
$15.00
$100.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$37.00
$100.00
$137.00
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: 6/7/02