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2001, 07-27 Permit App: 01006206 Sewer, Plumbing ReversalProject Number: 01006206 Inv: 1 Application Date: 7/27/01 THIS IS NOTA PERMIT Penalties will be assessed for commencing work without a permit Project (formation: Page 1 of 2 Permit Use: INT PLBG REVERSAL/SEWER Contact: SHELE/COURCHAINE CONSTR CONNECT/EASTON 2 Address: 19818 E SPRAGUE C - S - Z: GREENACRES WA 99016 Setbacks: Front Left: Right: Rear: Phone: (509) 924-5485 Group Name: Site Information: Project Name: Plat Key: CONV Name: CONVERTED CNTY DATA District: F Parcel Number: 45162.0435 Block: SiteAddress: 10722 E MAXWELL AVE SPOKANE, WA 99206 Location:: SPO Lot: Owner: Name: NICHOLS, THELMA Address: 10722 E MAXWELL AVE SPOKANE, WA 99206 Zoning: AGRI Water District: Hold: ❑ Area: 14,250 Sq Ft Width: 190 Depth: 75 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 10 Review Information: Department ENGINEER Hold Reasons: Permit Conditions: Review Road Obstruction Permits• Plumbing Permit Contractor: BESTWAY PLUMBING Firm: BESTWAY PLUMBING Address: 18416 E ALKI AVE Phone: (509) 922-1541 GREENACRES, WA 99016 Item Description Units Unit Desc Fee Amount WATER PIPING - DWV 1 NUMBER OF $6.00 PROCESSING FEE 1 Y OR BLANK $25.00 MINIMUM FEE ADJUSTMENT 1 Select $4.00 Permit Total Fees: $35.00 Project Number: 01006206 Inv: 1 Application THIS IS NIT A PERMIT Penalties will be assessed for commencing work without a permit Date: 7/27/01 Page 2 of 2 Sewer Permit Contractor: COURCHAINE CONSTRUCTION Firm: COURCHAINE CONSTRUCTION Address: 19818 E SPRAGUE AVE Phone: (509) 928-0846 GREENACRES, WA 99016 Item Description SEWER CONNECTION PROCESSING FEE Payment Summary - Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Fee Amount $85.00 $15.00 Permit Total Fees: $100.00 Operator: JAS Printed By: JAS Print Date: 7/27/01 Permit Type Plumbing Permit Sewer Permit Notes: Fee Amount Invoice Amount Amount Paid $35.00 $35.00 '$0.00 $100.00 $100.00 $0.00 $135.00 $135.00 Amount Owing $35.00 $100.00 $0.00 5135.00