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2001, 12-06 Permit App: 01010680 Sewer, Plumbing ReversalProject Number: 01010630 Inv: 1 r -1 Application Date: 12/6/2001 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SEWER CONNECTION - ARGONNE & 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 Informations Project Name: Plat Key: 000000 Name: UNKNOWN District: H Parcel Number: 45083.0326 Block: Lot: SiteAddress: 1923 N LOCUST RD SPOKANE, WA USA 00000 Location:: SPO Zoning: B-2 Water District: Community Business Area: 24,754 Sy Ft Width: 0 Nbr of Bldgs. 0 Nbr of Dwellings: 0 Review Information: Owner: Name: HUBBLE, BOBBY R & AGNES B Address: 1923 N LOCUST RD SPOKANE, WA 99206-4149 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Road Obstruction of _CD6cle Permits: • Plumbing Permit Contractor. BESTWAY PLUMBING Firm' BESTWAY PLUMBING Address: 18416 E ALKI AVE GREENACRES, WA 99016 Item Description WATER PIPING - DWV PROCESSING FEE MINIMUM FEE ADJUSTMENT Phone. (509) 922-1541 Units Unit Desc 1 NUMBER OF I Y OR BLANK I Select Operator: RMB Printed By: RMB Fee Amount $6.00 $25 00 $4.00 Permit Total Fees: $35.00 Print Date: 12/6/2001 Project Number: 01010680 Inv: 1 Application Date: 12/6/21101 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Sewer Connection Permit Contractor: COURCHAINE CONSTRUCTION Finn: COURCHAINE CONSTRUCTION Address: 19818 E SPRAGUE AVE Phone: (509) 928-0846 GREENACRES, WA 99016 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 $35.00 $100.00 Permit Total Fees: Invoice Amount $35.00 $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 be 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 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: RMB Print Date: 12/6/2001