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2002, 03-18 Permit App: 02001684 Sewer, Plumbing ReversalProject Number 0200168-1 Inv: 1 )Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 3/18/2002 Project Information: Permit Use: SEWER CONNECTION - VALLEY VISTA & PLUMBING REVERSAL Setbacks: Front Left: Right. Rear - Site Information: - - Plat Key: 1)01834 Name: OPP.TR. 1-354 Contact Address C -S-Z. Phone. Group Naine. Project Nance• H & S CONSTRUCTION 11817 E. VALLEYWAY AVE SPOKANE WA 99206 (509) 926-8964 District: F Parcel Number 45171.0523 Block: Lot SiteAddress. 141)1 N FELTS RD Owner. Name SPOKANE, WA USA 00000 Address Location" SPO Zoning. UR -3.5 Water District' Area 19,942 Sq Ft Urban Residential 3.5 \Vidth: 0 Nbr of Bldgs: 1) Nbr of Dwellings: 0 Review Information: BARTON, BRYAN R 7116 ORTELIIJS ILWACO, WA 98624 Hold: ❑ Depth. 0 Right Of Way (fI) 0 Page 1 of 2 Review Road Obstruction Permits: Relcased,By: 3,..., L.. • 18 _OZ. _ 051—SiCN 134 Contractor: 11 & S CONSTRUCTION Address: 11817 E VALLEYWAY AVE SPOKANE. WA 99206 Item Description WATER PIPING - DWV PROCESSING FEE MINIMUM FEE ADJUSTMENT Plumbing Permit First: H & S CONSTRUCTION Phone: (51)9) 926-8964 Units Unit Desc I NUMBER OF 1 Y OR BLANK I Select Operator. RMB Printed By RNIB Permit Total Fees: Print Date: Fee Amount 56.011 525 no 54.011 535.00 3/18/2002 Project Number: 02001684 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 3/18/2002 Page 2 of 2 Server Connection Permit Contractor: H & S CONSTRUCTION Finn. H & S CONSTRUCTION Address. 11817 E VALLEYWAY AVE Phone (509) 926-8964 SPOKANE, WA 99206 Item Description SEWER CONNECTION PROCESSING FEE Notes: ...................... Papntettt Summary: - Permit Type Plumbing Permit Sewer Connection Permit Units Unit Desc I NUMBER OF I 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 535.00 $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 he true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will he complied with. Subsequent issuance of a permit shall not he contrued to he 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' 3/18/291)2