2001, 11-29 Permit App: 01010509 Plumbing Reversal, SewerProject Number: 01010509 Inv: 1
;Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/29/01 Page 1 of 2
Project Information:
Permit Use: PLUMBING REVERSAL/R-IN TOILET/SEWER
CONNECT/WOLFLAND
Setbacks: Front
Site Information:
Contact: ALLIED SEWER & BORING
Address: 9317 S FREEMAN DR
C - S - Z: MEDICAL LAKE, WA 99022
Left: Right: Rear: Phone: (509) 924-8508
Group Name:
Project Name:
Plat Key: 000000 Name: UNKNOWN
District: H
Parcel Number: 45074.0215 Block:
Lot:
SiteAddress: 8717 E KNOX AVE Owner: Name: STROH, ROBERT A & LYNETTE
SPOKANE, WA USA 00000 Address: 8402 N CANAL LN
Location:: SPO NEWMAN LAKE, WA 99025-9449
Zoning: UR -3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 10,370 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
AMINSUSW
Review
Road Obstruction
DiSANgy4
Permits:
Contractor: BESTWAY PLUMBING
Address: 18416 E ALKI AVE
GREENACRES, WA 99016
Item Description
TOILETSBIDETS
WATER PIPING - DWV
PROCESSING FEE
Plumbing Permit
Firm: BESTWAY PLUMBING
Phone: (509) 922-1541
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 Y OR BLANK
Fee Amount
$6.00
$6.00
$25.00
Permit Total Fees: $37.00
Operator: JAS Printed By: JAS Print Date: 11/29/01
Project Number: 01010509 Inv: 1
Applic4tion Date: 11/29/01 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Sewer Connection Permit
Contractor: ALLIED SEWER BORING Firm: ALLIED SEWER BORING COMPA
Address: 9317 S FREEMAN DR Phone: (509) 924-8508
MEDICAL LAKE, WA 99022
Item Description Units Unit Desc Fee Amount
SEWER CONNECTION 1 NUMBER OF $85.00
PROCESSING FEE 1 Y OR BLANK $15.00
Permit Total Fees: $100.00
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Plumbing Permit $37.00 $37.00 $0.00 $37.00
Sewer Connection Permit $100.00 $100.00 $0.00 $100.00
$137.00 $137.00 $0.00 $137.00
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: JAS Print Date: 11/29/01