2002, 02-14 Permit App: 02000908 Sewer, Plumbing ReversalProject Number: 02000908
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
......................................................................................
Permit Use: SEWER CONNECTION - WOLFLAND &
PLUMBING REVERSAL
Date: 2/14/2002 Page 1 of 2
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: CONV Name: CONVERTED CNTY DATA
Contact: NORM'S EXCAVATING
Address: P.O. BOX 574
C - S - Z: VERADALE, WA 99037
Phone: (509) 928-0580
Group Name:
Project Name:
District:
Parcel Number: 45074.0229
SiteAddress: 8621 E MANSFIELD AVE
SPOKANE, WA 99212
Location:: SPO
Block:
Zoning: UNK
Water District:
Lot:
Owner: Name: BARKER, DAVID J
Address: 8621 E MANSFIELD AVE
SPOKANE, WA 99212
Hold: ❑
Area: 0 Sq Ft Width: 78 Depth: 138 Right Of Way (ft): 0
Nbr of Bldgs: 2 Nbr of Dwellings: 10
Review
Road Obstruction
Permits:
Released 13y:
Contractor: BELKNAP PLUMBING
Address: 3414 S. ADAMS RD
VERADALE, WA 99037
Item Description
WATER PIPING - DWV
PROCESSING FEE
MINIMUM FEE ADJUSTMENT
Plumbing Permit
Firm: BELKNAP PLUMBING
Phone: (509) 921-5913
Units Unit Desc Fee Amount
1 NUMBER OF $6.00
1 Y OR BLANK $25.00
1 Select $4.00
Operator: RMB Printed By: RMB
Permit Total Fees: $35.00
Print Date: 2/14/2002
Project Number: 02000908 Inv: 1
Application
Date: 2/14/2002
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Sewer Connection Permit
Page 2 of 2
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
Permit Total Fees:
Fee Amount Invoice Amount
$35.00 $35.00
$100.00 $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 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: RMB Print Date: 2/14/2002