2002, 07-16 Permit App: 02005970 Sewer, Plumbing ReversalProject Number: 02005970 Inv: 1
4'
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/16/02 Page 1 of 2
Project Information:
Permit Use: SEWER CONNECTION - MISSION / PLUMBING
Contact: NORM'S EXCAVATING
REVERSAL Address: P.O. BOX 574
C - S - Z: VERADALE, WA 99037
Setbacks: Front Left: Right: Rear: Phone: (509) 928-0580
Group Name:
Site Information: Project Name:
.'.-y °..<"a @,r"','.rn6 4 .."lY °d ;✓' . `4a4 N, i"': ae "41/41'#ir'.»'+,<ii«"4 r£, ",fi5s.. ....., ,,,,,' Mvrt"`X'k"`."Y .'<<`".r,.y4'..MT"k"1"'%f'
Plat Key: 000000 Name: UNKNOWN District:
Parcel Number: 45083.0455 Block:
SiteAddress: 1717 N FARR RD
SPOKANE, WA USA 99206
Location:: SPO
Zoning: UNKN Unknown
Water District:
Lot:
Owner: Name: GARNER, DORIS M
Address: 1717 N FARR RD
SPOKANE, WA 99206-4171
Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Road Obstruction
Permits:
Contractor: BELKNAP PLUMBING
Address: 3414 S ADAMS RD
VERADALE, WA 99037
Item Description
WATER PIPING - DWV
PROCESSING FEE
MINIMUM FEE ADJUSTMENT
Released By: J� ?
Plumbing Permit
Firm: BELKNAP PLUMBING
Phone: (509) 921-5913
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
1 Select
Operator: CKF Printed By: CKF
Fee Amount
$6.00
$25.00
$4.00
Permit Total Fees: $35.00
Print Date: 7/16/02
F
Project Number: 02005970 Inv: 1
Application
Date: 7/16/02 Page 2 of 2
THIS IS NIT A PERMIT
Penalties will be assessed for commencing work without a permit
Sewer Connection Permit
Contractor: NORM'S EXCAVATING Firm: NORM'S BOBCAT SERVICE
Address: PO BOX 574 Phone: (509) 928-0580
VERADALE, WA 99037
Item Description
SEWER CONNECTION
PROCESSING FEE
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Permit Total Fees:
Fee Amount
$85.00
$15.00
$100.00
Notes. : -
Payment Summary:
Permit Type
Plumbing Permit
Sewer Connection Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$35.00 $35.00 $0.00 $35.00
$100.00 $100.00 $0.00 $100.00
$135.00 $135.00 $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: CKF Printed By: CKF
Print Date: 7/16/02