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2002, 05-01 Permit App: 02003217 SewerProject Number: 02003217 Inv: 1 • Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/1/2002 Page 1 of 2 Project Information: Permit Use: SEWER CONNECTION - EASTON Contact: BAILEY'S CONSTRUCTION Address: E. 3707 28TH C - S - Z: SPOKANE, WA 99223 Setbacks: Front Left: Right: Rear: Phone: (509) 532-0705 Group Name: Site Information: Project Name: Plat Key: 001835 Name: OPP.TR. 1-354 District: F Parcel Number: 45162.0515 Block: Lot: SiteAddress: 1317 N BOWDISH RD SPOKANE, WA 99206 Location:: SPO Zoning: UR -3.5 Water District: Area: 0 Sq Ft Urban Residential 3.5 Width: 0 Nbr of Bldgs: 2 Nbr of Dwellings: 1 Review Information: Owner: Name: COOK, DELMER L Address: 1317 N BOWDISH RD SPOKANE, WA 99206 Hold: ❑ Depth: 0 Right Of Way (ft): 70 Review Revi • ira:.► Permits: r,Released By: (ECCE � a Contractor: UNKNOWN Address: UNKNOWN UNKNOWN, WA UNKNOWN Item Description SEWER CONNECTION PROCESSING PEE Sewer Connection Permit • Firm: UNKNOWN Phone: (000) 000-0000 Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Operator: RMB Printed By: RMB Permit Total Fees: Fee Amount $85.00 $15.00 $100.00 a Print Date: 5/1/2002 Project Number: 02003217 Inv: 1 Application Date: 5/1/2002 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes: Payment Summary: Permit Type Sewer Connection Permit Fee Amount Invoice Amount Amount Paid Amount Owing $100.00 $100.00 $0.00 $100.00 $100.00 $100.00 $0.00 $100.00 Page 2of2 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: 5/1/2002 CRUMCC ID: 01 ?OPTION ?LICENSE NUMBER: Contractor Name: Parent Company : Search Name BAILEY'S CONSTR Address Line 1 : E 3707 28TH AVE Address Line 2 : City,State,Zip : SPOKANE Telephone 5095349605 DEPARTMENT OF LABOR AND INDUSTRIES CONSTRUCTION CONTRACTOR INFORMATION (ADD,CHG,REN,REP,PRT,CRL or Screen BAILEC*088JW ?Status: ?Contractor Type: BAILEY'S CONSTRUCTION UBI: Effective Date : Expiration Date: Suspended Date : 041692 050103 000000 Nbr of Type Chg: 0 Fee Received Dt: 000000 WA 99223 County: ?Reg Reason Code: ?Business Type: ?Specialty Code 1: ?Specialty Code 2: Audit Until Date: Employees: LINIIS ID: F1=Hlp F2=USH F3=End F4=Adr F5=Pry F6=Nxt Const Contractor Renewed Successfully CRIS prod ID) A ACTIVE CC CONST CONT 601137812 32 I 01 00 000000 (Y/N) SPOKANE INDIVIDUAL GENERAL UNUSED