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2001, 07-16 Permit App: 01005771 Sewer, Plumbing ReversalProject Number: 01005771 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date. 7/16/2001 Page 1 of 2 Project Information: Permit Use: SEWER CONNECTION - MIRABEAU & Contact: COURCHAINE CONSTRUCTION PLUMBING REVERSAL Address: 19818 E SPRAGUE C - S - Z: GREENACRES, WA 99216 Setbacks: Front Left: Right: Rear Phone: (509) 924-5485 Group Name: Site 'Ovulation:Project Name: Plat Key: 001641 Name: MIRABEAU RANCH ADD District: H Parcel Number 45091.0516 Block: 5 Lot: 16 SiteAddress: 11619 E GRACE AVE SPOKANE, WA USA 00000 Location:: SPO Zoning: UR -3.5 Water Distract: Urban Residential 3.5 Area: 12,6011 Sy Ft Walt h: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Owner: Name: SHAW, TODD A & MOLLY A Address. 11619 E GRACE AVE SPOKANE, WA 99206-2632 Hold: ❑ Depth: 0 Right Of Way (ft). 0 Department Review ENGINEER Road Obstruction Hold Reasons. �i Permit Conditions D \` b Permits: ,Released By: : 4-, 6 a/ Plumbing Permit Contractor: BESTWAY PLUMBING Firm: BESTWAY PLUMBING Address: 18416 E ALKI AVE Phone- (509) 922-1541 GREENACRES, WA 99016 Item Description Units Unit Desc Fee Amount WATER PIPING - DWV 1 NUMBER OF 56 00 PROCESSING FEE 1 Y OR BLANK $25.00 MINIMUM FEE ADJUSTMENT 1 Select $4.00 Permit Total Fees: $35.00 Project Number: 01005771 Inv: 1 Application Date. 7/16/2001 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Sewer Permit Contractor: COURCHAINE CONSTRUCTION Firm: COURCHAINE CONSTRUCTION Address: 19818 E SPRAGUE AVE GREENACRES, WA 99016 Item Description SEWER CONNECTION PROCESSING FEE Phone: (509) 928-0846 Units Unit Desc Fee Amount 1 NUMBER OF $85.00 1 Y OR BLANK $15.00 Permit Total Fees: $100.00 Payment Summary: Operator: RMB Printed By: RMB Print Date: 7/16/2001 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Plumbing Permit $35.011 $35.00 $0.00 $35.00 Sewer Permit $100.00 $100.00 $0.00 $ I00.00 $135.00 $135.00 Notes: $0.00 $135.00