2002, 07-01 Permit App: 02005439 Sewer, Plumbing ReversalProject Number: 02005439 Inv: I
Application
THIS IS NOT A\PERMIT
Penalties will be assessed for commencing work without a permit
Date. 7/1/02 Page 1 of 2
Project Information:
Permit Use: INT PLBG REVERSAL/SEWER Contact: INLAND EXCAVATING & CONSTRUCTI
CONNECT/EASTON 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: 002738 Name: VALLEY VISTA SUB
Parcel Number: 45084.0430
Block: Lot:
SiteAddress: 1812 N FELTS RD
SPOKANE, WA 99212
Location:: SPO
Zoning. UR 3.5
Water District:
District: E
Owner: Nance: HEIN, DON
Addiess: 1812 N FELTS RD
SPOKANE, WA 99212
Hold: 0
Arca: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 40
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: r
Review
Road Obstruction
Permits:
Released By:
6a SPA % S_3,.
•
Plumbing Permit
?-I-ate.
Contractor: INLAND EXCAVATING & CONST Firm: INLAND EXCAVATING & CONST
Address 3417 W OLSON RD Phone: (509) 276-8500
DEER PARK, WA 99006
Item Description
WATER PIPING - DWV
PROCESSING FEE
MINIMUM FEE ADJUSTMENT
Operator: JAS
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
1 Select
Pec Amount
56.00
S25 00
54.00
Permit Total Fees: 5.5.00
Printed By: Print Date.
Project Number: 02005439 Inv:
Application
THIS ISNOTA PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/1/02 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
Notes:
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Fee Amount
$85.00
$15.00
Permit Total Fees: $100.00
Payment Sumntarv: -
-----
Permit Type
Plumbing Permit
Sewer Connection Permit
Fee Amount Invoice Amount
535 00 $35.00
$100.00 $100.00
$135.00 $135.00
Amount Paid
$0.00
$0.00
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: JAS
Printed By: Print Date