2002, 07-23 Permit App: 02006212 Sewer, Plumbing ReversalProject Number: 02006212 Inc' 1
Application
THIS IS NOTA PERMIT
Penalties will be assessed for commencing work without a permit
Dale: 7/23/2002 Page 1 of 2
Project Information:
Permit Use. SEWER CONNECTION - WELLESLEY MANOR Contact. INLAND EMPIRE EXCAVATION
& PLUMBING REVERSAL Address. 11)211 E. DRIFTWOOD
C - S - Z SPOKANE, WA 99206
Setbacks: Front Left. Right Rear: Phone. (509) 891-1586
Group Name'
Site Infirrntation: Project Name:
Plat Kee' 11112847 Name: WELLESLEY MANOR 1ST ADD District: 11
Parcel Number: 45012.2418
Block. Lot:
StteAddress 16127 E HERON' AVE
SPOKANE, WA 99216
Location SPO
Zoning: UNK
Water Distnct:
Area. 0 Sri Ft
Width: 1)
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Owner: Name: NESS, MIKE
Address 16127 EIIER01 AVE
SPOKANE, WA 99216
Hold: ❑
Depth: 11 Right of Way (0)• 11
Review
Road Obstruction
Permits:
Slat cool
Plumbing Permit
Contractor INLAND EMPIRE EXCAVATION Firm. INLAND EMPIRE EXCAVATION
Address' 111211 E DRIFTWOOD Phone: (509) 891-1586
SPOKANE, WA 99206
Item Description Units Unit Desc Fee Amount
WATER PIPING - DWV I NUMBER OF 56.00
PROCESSING FEE I Y OR BLANK 525 uu
MINIMUM FEE ADJUSTMENT I Select 54 pu
Operator RMB Printed By: RMB
Perini( Total Fees: 535 00
Print Date: 7/23/2002
Project Number: 02006212 Inv. 1 Application.. --. Date: 7/23/2002
THIS IS NOT X PERMIT
Penalties will be assessed for commencing work without a permit
Sewer Connection Permit
Page 2 of 2
Contractor: INLAND EMPIRE EXCAVATION Firm: INLAND EMPIRE EXCAVATION I
Address: 10211 E DRIFTWOOD Phone: (509) 891-1586
SPOKANE, WA 99206
Item Description
SEWER CONNECTION
PROCESSING FEE
Notes: ..
Payment .Sutnotary:
Permit Type
Plumbing Permit
Sewer Connection Permit
Units Unit Desc
1 NUMBER OF
1 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
$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 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 be con t rued 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
Piaui Date. 7/23/2002