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2002, 07-17 Permit App: 02005995 SewerProject Number: 02005995 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 7/17/2002 Page 1 of 2 Project Information: ................................................................. ................................................................. ................................................................. ................................................................. Permit Use: SEWER CONNECTION - WALNUT & 3 PLUMBING FIXTURES Setbacks: Front Left: Right: Rear: Site Information: .............................................................. .............................................................. ............................................................. Plat Key: 001834 Name: OPP.TR. 1-354 Contact: Z BEST CONSTRUCTION Address: P.O. BOX 13421 C - S - Z: SPOKANE WA 99213 Phone: (509) 891-9949 Group Name: Project Name: District: F Parcel Number: 45173.0304 Block: SiteAddress: 601 N FARR RD SPOKANE, WA USA 00000 Location:: SPO Zoning: UR -3.5 Water District: Urban Residential 3.5 Area: 25,297 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Lot: Owner: Name: MONVILLE, N B Address: 601 N FARR RD SPOKANE, WA 99206-3885 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Road Obstruction Permits: Released By: a. 45aa5tip Contractor: BELKNAP PLUMBING Address: 3414 S ADAMS RD VERADALE, WA 99037 Plumbing Permit Firm: BELKNAP PLUMBING Phone: (509) 921-5913 Item Description Units Unit Desc Fee Amount TOILETS/BIDETS 1 NUMBER OF $6.00 SINKS 1 NUMBER OF $6.00 WATER PIPING - DWV 1 NUMBER OF $6.00 PROCESSING NEE 1 Y OR BLANK $25.00 Permit Total Fees: $43.00 Operator: RMB Printed By: RMB Print Date: 7/17/2002 Project Number: 02005995 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 7/17/2002 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 Permit Total Fees: Fee Amount $85.00 $15.00 $100.00 Fee Amount Invoice Amount Amount Paid Amount Owing $43.00 $43.00 $0.00 $43.00 $100.00 $100.00 $0.00 $100.00 $143.00 $143.00 $0.00 $143.00 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and fmds 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: 7/17/2002