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2001, 11-05 Permit App: 01009817 Sewer, Plumbing FixturesProject Number: 01009817 Inv: 1 application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 11/5/2001 Page 1 of 2 Project Information: Permit Use: SEWER CONNECTION - EASTON. & WATER Contact: NORTHWEST EXCAVATORS, INC PIPING (3) Address: 8307 N STANDARD C - S - Z: SPOKANE WA 99208 Setbacks: Front Left: Right: Rear: Phone: (509) 466-7574 Group Name: Site Information: Project Name: Plat Key: 000986 Name: GILLINGHAM'S SUB District: F Parcel Number: 45162.1057 Block: SiteAddress: 10910 E MALLON AVE SPOKANE, WA 99206 Location:: SPO Zoning: UNKN Unknown Water District: Lot: Owner: Name: TUTTON, JAMES Address: 10910 E MALLON AVE SPOKANE, WA 99206 Hold: ❑ Area: 0 Sq Ft Width: 102 Depth: 126 Right Of Way (ft): 50 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review Road Obstruction Permits: Plumbing Permit Contractor: PANTHER PLUMBING Firm: PANTHER PLUMBING Address: 5724 CORKSCREW CANYON RD Phone: (509) 258-8871 TUM TUM WA 99034 Item Description Units Unit Desc Fee Amount WATER PIPING - DWV 3 NUMBER OF $18.00 PROCESSING FEE 1 Y OR BLANK $25.00 Permit Total Fees: $43.00 Operator: MKC Printed By: MKC Print Date: 11/5/2001 Project Number: 01009817 Inv: 1 Ap lication THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Sewer Connection Permit Date: 11/5/2001 Page 2 of 2 Contractor: NORTHWEST EXCAVATORS, INC Firm: NORTHWEST EXCAVATORS, INC Address: 8307 N STANDARD SPOKANE, WA 99208 Item Description SEWER CONNECTION PROCESSING FEE Notes: :.. Payment Summary: Permit Type Plumbing Permit Sewer Connection Permit Phone: (509) 466-7574 Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Permit Total Fees: Fee Amount Invoice Amount $43.00 $43.00 $100.00 $100.00 Fee Amount $85.00 $15.00 Amount Paid $0.00 $0.00 $100.00 Amount Owing $43.00 $100.00 $143.00 $143.00 $0.00 $143.00 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and fmds 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: MKC Printed By: MKC Print Date: 11/5/2001