2002, 09-23 Permit App: 02008210 Sewer, Plumbing ReversalProject Number: 02008210 Inv: 1
Application
THIS I§ NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/23/21)02 I'agc I of 2
Project Information:
Permit Use• SEWER CONNECTION - SKYVIEW & Contact: NORM'S EXCAVATING
PLUMBING REVERSAL Address: P.O. BOX 574
C - S - Z: VERADALE, WA 99037
Setbacks: Front Left: Right Rear: Phone: (509) 928-0581)
Group Name.
Site Information: Project Name
Plat Key: CONV Name: CONVERTED CNTY DATA District, F
Parcel Number: 45284.0725
Block Lot.
SiteAddress: 11725 E LENORA DR
SPOKANE, WA 99206
Location" SPO
Zoning: UNK
Water District -
Owner Name: ZIMMERMAN, JON A
Address: 11725 E LENORA DR
SPOKANE, WA 99206
Hold: ❑
Area 19,01)1) Sq Ft Width: 181) Depth 11)5 Right Of Way (f). 0
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction
Permits:
Released By:
T=a3-fly
c7a, SC.0 S oZ
Plumbing Permit
Contractor BELKNAP PLUNIBING Firm BELKNAP PLUMBING
Address: 3414 S ADAMS RD Phone (51)9) 921-5913
VERADALE, WA 991)37
Item Description
WATER PIPING - DWV
PROCESSING FEE
MINIMUM FEE ADJUSTMENT
Units Unit Desc Fee Amount
I NUiPIBER OF $6.00
1 Y OR BLANK $25.110
1 Select $4.00
Operator RMB Printed By: RMB
Permit Total Fees: $35.00
Print Date 9/23/2002
Project Number: 02008210 Inv: 1
Applicatjon
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/23/2002 Page 2 of 2
Sewer Connection Permit
Contractor NORM'S EXCAVATING Firm NORM'S BOBCAT SERVICE
Address: PO BOX 574 Phone: (509) 928-0580
VERADALE, WA 99037
Item Description
SEWER CONNECTION
PROCESSING FEE
Notes:
Payment Summary:
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
$100.00
$35.00
$100.00
$135.00 $135.00
Amount Paid
$0 00
$0 01)
Amount Owing
$35.00
$11)0 01)
$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 workwill be
complied with. Subsequent issuance of a permit shall not he construed to he 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: 9/23/2002