2002, 05-08 Permit: 02003483 SewerProject Number: 02003483
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION - VALLEY VISTA&
PLUMBING REVERSAL
Date: 5/8/2002 Page 1 of 2
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: 000848 Name: FARR-MISSION SUB
Contact: H & S CONSTRUCTION
Address: 11817 E. VALLEYWAY AVE
C - S - Z: SPOKANE WA 99206
Phone: (509) 926-8964
Group Name:
Project Name:
District:
Parcel Number: 45083.0458 Block:
SiteAddress: 1621 N FARR RD
SPOKANE, WA 99206
Location:: SPO
Zoning: AGSUB
Water District:
Lot:
Owner: Name:
Address:
BEDINGER, DONALD K
1621 N FARR RD
SPOKANE, WA 99206
Hold: ❑
Area: 0 Sq Ft Width: 85 Depth: 135 Right Of Way (ft): 50
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Review
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Reteased By.
Permits:
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150
ing Permit
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ess: UN ! WN
UNKNOWN, WA UNKNOWN
Item Desc
WATER PIPING - DWV
PROCESSING FEE
MINIMUM FEE ADJUSTMENT
rm: UNKNOWN
hone: (000) 000-0000
Units Unit Desc
I NUMBER OF
1 Y OR BLANK
1 Select
Operator: RMB Printed By: RMB
Permit Total Fees:
Print Date:
Fee Amount
$6.00
$25.00
$4.00
$35.00
e -
5/8/2002
Project Number: 02003483 Inv: 1
•
Application Date: 5/8/2002 Page 2 of 2
THIS IS NOT A PERMIT
Pena ' 1 be assessed for commencing work without a permit
ewer Connection Permit
Con
act : UNKNOWN V1 0 DA- \C
dress: UNKNOWN �
UNKNOWN, WA UNKNOWN
Ite
Descri tion
SEWER
PROCESSING FEE
Notes:
Payment Summary:::;
Permit Type
Plumbing Permit
Sewer Connection Permit
Firm: UNKNOWN
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Permit Total Fees:
Fee Amount Invoice Amount
$35.00 $35.00
$100.00 $100.00
$135.00 $135.00
Fee Amount
$85.00
$15.00
Amount Paid
$0.00
$0.00
$100.00
Amount Owing
$35.00
$100.00
$0.00 $135.00
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 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: 5/8/2002