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2001, 05-30 Permit App: 01004074 Sewer, Plumbing ReversalProject Number: 01004074 Inv: 1 Application Date: 5/30/01 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 - EASTON 2 / PLUMBING Contact: COURCHAINE CONSTRUCTION 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: 000986 Name: GILLINGHAM'S SUB Parcel Number: 45162.1053 Block: 2 SiteAddress: 11016 E MALLON AVE SPOKANE, WA USA 00000 Location:: SPO Zoning: UNKN Unknown Water District: Area: 10,733 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Department ENGINEER Hold Reasons: Permit Conditions: Permits: Review Road Obstruction Lot: 2 District: F Owner: Name: ETHEL RICHARDS REV LIV T Address: 11016 E MALLON AVE SPOKANE, WA 99206-5018 Hold: D Depth: 0 Right Of Way (ft): 0 OLID ZS`t Contractor: BESTWAY PLUMBING Address: 18416 E ALKI AVE GREENACRES, WA 99016 Item Description WATER PIPING - DWV PROCESSING FEE MINIMUM FEE ADJUSTMENT Plumbing Permit Firm: BESTWAY PLUMBING Phone: (509) 922-1541 Units Unit Desc Fee Amount 1 NUMBER OF $6.00 1 Y OR BLANK $25.00 1 Select $4.00 Permit Total Fees: $35.00 Project Number: 01004074 Inv: 1 Applicatioil THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/30/01 Page 2 of 2 Sewer Permit Contractor: COURCHAINE CONSTRUCTION Firm: COURCHAINE CONSTRUCTION Address: 19818 E SPRAGUE AVE GREENACRES, WA 99016 Item Description SEWER CONNECTION PROCESSING FEE Payment Summary: Operator: CKF Permit Type Plumbing Permit Sewer Permit Notes: Phone: (509) 928-0846 Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Printed By: CKF Permit Total Fees: Fee Amount $85.00 $15.00 $100.00 Print Date: 5/30/01 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