2001, 12-17 Permit App: 01010878 SewerProject Number: 01010878 Inv:
0
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/17/2001 Page 1 of 2
Project Information:
Permit Use: SEWER CONNECTION - FAIR ACRES & Contact: H & S CONSTRUCTION
PLUMBING REVERSAL
Address: 11817 E. VALLEYWAY AVE
C - S - Z: SPOKANE WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509) 926-8964
Group Name:
Site Information: Project Name:. .
Plat Key: CONV Name: CONVERTED CNTY DATA District: 11
Parcel Number: 45092.0762 Block:
SiteAddress: 3011 N GILLIS RD
SPOKANE, WA 99212
Location:: SPO
Zoning: UNK
Water District
Area: 0 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 20
Lot:
Owner: Name: YOUNG, RONNIE
Address: 3011 N GILLIS RD
SPOKANE, WA 99212
Hold: 0
Depth: 0 Right Of Way (ft): 0
Review
Road Obstruction
0/5x,fug341
Permits:
Contractor: JACKSON PLUMBING
Address: P.O. BOX 7272
SPOKANE, WA 99207
Item Description
WATER PIPING - DWV
PROCESSING FEE
MINIMUM FEE ADJUSTMENT
Plumbing Permit
Firm: RANDY JACKSON PLUMBING
Phone: (509) 926-7101
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
1 Select
Operator: RMB Printed By: RMB
Permit Total Fees:
Fee Amount
$6.00
$25.00
$4.00
$35.00
Print Date: 12/17/2001
Project Number: 01010878 Inv: 1
, A
N "
Application
Date: 12/17/2001 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Sewer Connection Permit
Contractor: 171 & S CONSTRUCTION Firm: 11 & S CONSTRUCTION
Address: 11817 E VALLEYWAY AVE Phone: (509) 926-8964
SPOKANE, WA 99206
Item Description
SEWER CONNECTION
PROCESSING FEE
Permit Type
Plumbing Permit
Sewer Connection Permit
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Fee Amount
$85.00
$15.00
Permit Total Fees: $100.00
Fee Amount Invoice Amount
$35.00 $35.00
$100.00 $100.00
Amount Paid
$0.00
$0.00
Amount Owing
$35.00
$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: RMB Printed By: RMB Print Date: 12/17/2001