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2002, 09-23 Permit App: 02008231 Sewer, Plumbing FixturesProject Number: 02008231 Inv: 1 cation Date: 9/23/2002 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SEWER CONNECTION- WALNUT & 4 PLUMBING FIXTURES Setbacks: Front Left: Right: Rear: Site Information: Plat Key: 001834 Name: OPP.TR. 1-354 Contact: INLAND EXCAVATING & CONSTRUCT Address: 3417 W OLSON RD C - S - Z: DEER PARK, WA 99006 Phone: (509) 276-8500 Group Name: Project Name: District: F Parcel Number: 45173.0108 SiteAddress: 710 N FARR RD Spokane, WA USA 99206 Location:: SPO Zoning: UNKN Unknown Water District: Area: 17,000 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: ::...... .... Block: Lot: Owner: Name: PEACE, HAZEL B Address: 710 N FARR RD SPOKANE, WA 99206-3879 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Road Obstruction °RsMk 80? Permits: Contractor: INLAND EXCAVATING & CONST Address: 3417 W OLSON RD DEER PARK, WA 99006 Item Description TOILETS/BIDETS SINKS TUBS WATER PIPING - DWV PROCESSING FEE Plumbing Permit Firm: INLAND EXCAVATING & CONST Phone: (509) 276-8500 Units Unit Desc 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 Y OR BLANK Operator: RMB Printed By: RMB Permit Total Fees: Print Date: Fee Amount $6.00 $6.00 $6.00 $6.00 $25.00 $49.00 9/23/2002 Project Number: 02008231 Inv: 1 k Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/23/2002 Page 2 of 2 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 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 $49.00 $49.00 $0.00 $49.00 $100.00 $100.00 $0.00 $100.00 $149.00 $149.00 $0.00 $149.00 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: RMB Printed By: RMB Print Date: 9/23/2002