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2002, 08-02 Permit App: 02006594 Sewer, Plumbing FixturesProject Number: 02006594 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 8/2/02 Page 1 of 2 Project Information: Permit Use: SEWER CONNECTION - WALNUT / TOILET, Contact: INLAND EXCAVATING & CONSTRUCTI SHOWER, SINK Address: 3417 W OLSON RD C - S - Z: DEER PARK, WA 99006 Setbacks: Front Left: Right: Rear: Phone: (509) 276-8500 Group Name: Site Information: Project Name: Plat Key: 001854 Name: OPPORTUNITY PLAT 3 Parcel Number: 45173.0208 Block: Lot: SiteAddress: 703 N FARR RD SPOKANE, WA 99206 Location:: SPO Zoning: AGRI Water District: District: E Owner: Name: BRADLEY, STEVE Address: 703 N FARR RD SPOKANE, WA 99206 Hold: ❑ Area: 0 Acres Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: , Review Road Obstruction snotK4g5 Permits: Contractor: KEN CARTER Address: 916 S UNIVERSITY RD SPOKANE, WA 99206 Item Description TOILETSBIDETS SINKS SHOWERS PROCESSING FEE Released By: Plumbing Permit Firm: KENNETH J. CARTER Phone: (509) 216-6539 Units Unit Desc 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 Y OR BLANK Operator: CKF Printed By: CKF Permit Total Fees: Fee Amount $6.00 $6.00 $6.00 $25.00 $43.00 Print Date: 8/2/02 Project Number: 02006594 Inv: 1 Application Date: 8/2/02 Page 2 of 2 THIS IS,NDT A PERMIT Penalties will be assessed for commencing work without a permit Sewer Connection Permit Contractor: INLAND EXCAVATING & CONST Firm: INLAND EXCAVATING & CONST Address: 3417 W OLSON RD Phone: (509) 276-8500 DEER PARK, WA 99006 Item Description SEWER CONNECTION PROCESSING FEE Notes: max. Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Permit Total Fees: Fee Amount $85.00 $15.00 $100.00 Payment Summary:.: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Plumbing Permit $43.00 $43.00 $0.00 $43.00 Sewer Connection Permit $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 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: CKF Printed By: CKF Print Date: 8/2/02