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2006, 08-30 Permit: 06003451 Sewer ReversalS61Cane t,;oOValley Site Information Site Address: 3514 N CENTER RD Parcel Number: 45063.3416 Subdivision: Block: Lot: Zoning: UR -3 Urban Residential 3.5 Owner: JANSEN, S & D Address: 3514 N CENTER RD SPOKANE valley, WA 99212-1974 Building Inspector: DOUG POWELL Water Dist: Plumbing Permit BUILDING DIVISION 11707 E. Sprague Avenue, Suite 106 Spokane Valley, WA 99206 Project Information Project Number: 06003451 Inv: 1 Issue Date: 08/30/2006 Permit Use: sewer connection, reversal Applicant: NORM'S Excavating P.O. BOX 574 VERADALE, WA 99037 Contact: NORM'S Excavating P.O. BOX 574 VERADALE, WA 99037 Setbacks - Front: Left: Right: Group Name: Project Name: Permits Contractor: BELKNAP PLUMBING License #: BELKNP*071D6 WATER PIPING - DWV 1 $6.00 FOR PLUMBING INSPECTIONS CALL (509) 688-0054. Phone: (509) 928-0580 Phone: (509) 928-0580 Rear: Total Permit Fee: $6.00 Rig/it or Way Contractor: NORM'S EXCAVATING INC License #: NORMSEI972BM ROW - RD OBSTRUCTION $70.00 Total Permit Fee: $70.00 FOR RIGHT OF WAY INSPECTIONS CALL (509) 688-0053 ENGINEERING Payment Summary Total Fees AmountPaid AmountOwinQ Tran Date Receipt # Payment Amt $76.00 $76.00 $0.00 08/30/2006 6725 $76.00 Notes / Conditions of Approval (A)❑THE BULDING OFFICIAL IS AUTHORIZED TO REQUIRE THE PERMIT APPLICANT TO PROVIDE FEE REIMBURSEMENT TO THE CITY OF SPOKANE VALLEY FOR ANY PROFESSIONAL SERVICES REQUIRED OUTSIDE OF CITY STAFF REVIEW. (B)❑SOME EXAMPLES OF POTENTIAL OUTSIDE RESOURCES INCLUDE PLAN REVIEW, CONSTRUCTION INSPECTION AND SURVEYING. Processed By: Blake, Anita M PERMIT Printed By: Blake, Anita M Page 1 of I