2002, 06-24 Permit App: 02001231 Sewer, Plumbing ReversalProject Number: 02001231 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date 6/24/2002 Page 1 of 2
Project Information:
Pennit Use: SEWER CONNECTION- MISSION & INT PLBG
REVERSAL
Setbacks: Front
Site Information:
Contact: LEMIEUX, THOMAS & DIANNE
Address: P.O. BOX 14875
C - S - Z: SPOKANE, WA 99214
Left: Right: Rear Phone: (509) 926-1569
Group Name:
Project Name:
Plat Key: 001648 Name: MISSION ADD District: F
Parcel Number 45172.0312
Block 3 Lot. 12
SitcAddress: 1204 N LOCUST RD
SPOKANE, WA USA 001100
Location:: SPO
Owner Name: LEMIEUX, THOMAS & DIANNE
Address. P.O. BOX 14875
SPOKANE, WA 99214
Zoning: UR -3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 11,265 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: .. ... .. .
Review
Review by Utilities
Permits:
'Relrtsed:By:
Contractor: OWNER
Item Description
WATER PIPING - DWV
MINIMUM FEE ADJUSTMENT
Contractor: OWNER
Item Description
SEVER CONNECTION
PROCESSING FEE
Plumbing Permit
Finn. OWNER
Phone
Units Unit Dcsc
1 NUMBER OF
1 Select
Fee Amount
$6.00
$29.00
Permit Total Fees: $35.00
Serer Connection Permit
Firm: OWNER
Phone:
Units Unit Dcsc
1 NUMBER OF
1 Y OR BLANK
Operator: RMB Printed By: PSS
Permit Total Fees:
Fee Amount
$85.00
$15.00
$100.00
Print Date: 6/24/2002
Project Number: 02001231 Inv. 1
Notes: . . .
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/24/2002 Page 2 of 2
Payment Summary: .... .
Permit Type
Plumbing Permit
Sewer Connection Perini[
Fee Amount Invoice Amount
$35.00 $35 00
$100.00 $100.00
$135.00 $135.00
Amount Paid
$0 00
$0.00
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 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: RMB Printed By. PSS
Print Date: 6/24/2002