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2001, 06-18 Permit App: 01004767 Sewer, Plumbing Reversali Project Number: 01004767 Inv: 1 Application Dale: 6/18/2001 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Infornmtion: Permit Use' SEWER CONNECTION - WELLESLEY MANOR 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 Information: Project Name: Plat Key. 001984 Name. PEPLINSKIS IST ADDITION District. 11 Parcel Number 45011.0408 Block. Lot SileAddress. 4513 N LARCH RI) SPOKANE, WA 99216 Location" SPO Zoning: UNKN Unknown Water Distner Owner Name: SCHMITZ REALITY CO Address E. 219 AUGUSTA, SUITE 300 SPOKANE, WA 99216 Hold. ❑ Arca' Il Sq Ft Width 0 Depth: 0 Right Of Way (ft)- 0 Nbr of Bldgs' 1 Nbr of Dwellings: Review Information: Department ENGINEER Permits: Review Road Obstruction Released Bt to 4/7-01 ... Hold Reasons: Permit Conditions: OLS tD 419 Plumbing Permit Contractor: BESTWAY PLUMBING Firm: BESTWAY PLUMBING Address: 18416 E ALKI AVE Phone: (5(19) 922-1541 GREENACRES, WA 99016 Item Description WATER PIPING - DWV PROCESSING FEE MINIMUM FEE ADJUSTMENT Units Unit Desc I NUMBER OF I Y OR BLANK I Select Permit Total Fees: Fee Amount $6.00 $25 00 $4.00 $35.011 Project Number: 01004767 liw: 1 .. Applicaiion THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/18/2001 Page 2 of 2 Seiner Permit Contractor: COURCHAINE CONSTRUCTION Firm: COURCHAINE CONSTRUCTION Address 19818 E SPRAGUE AVE Phone: (509) 928-0846 GREENACRES, WA 99016 Item Description SEWER CONNECTION PROCESSING FEE Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Fee Amount $85.00 $15.00 Permit Total Fees: $100.00 Payment Sununary: ....... Operator RMB Printed By: MKC Print Date 6/18/2001 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Plumbing Penni_ $35.00 $35.00 $0.00 $35.00 Sewer Permit $100.00 $100.00 $0.00 $100.00 $135.00 $135.00 Notes: . $0.00 $135.00