2002, 05-20 Permit App: 02003861 Sewer, Plumbing ReversalProject Number: 02003861 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/20/02 Page 1 of 2
Project Information:
Pemut Use: SEWER CONNECTION - EASTON 2 / PLUMBING Contact- COURCHAINE CONSTRUCTION
REVERSAL 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: 001570 Name MAXWELL'S SUB
District: F
Parcel Number. 45162.0421 Block
SiteAddress: 10806 E MAXWELL AVE
SPOKANE, WA 99206
Location: SPO
Zoning: UR -3.5
\Vater District
Urban Residential 3.5
Lot:
Owner- Name MILLER, MARTIN & PEGGY
Addiess: 10806 E MAXWELL AVE
SPOKANE. WA 99206
Hold. ❑
Area 0 Sy Ft Width: 105 Depth. 116 Right Of Way (ft): 50
Nbr of Bldgs: 0 Nbr of Dwellings 1
Review Information:
Review
Road Obstruction
02_,,S0> 1t 2c$o
Permits: . ---
Contractor: UNKNOWN
Address- UNKNOWN Phone: (000) 000-0000
UNKNOWN, WA UNKNOWN
Plumbing Permit
Firm: UNKNOWN
Item Descimtton
WATER PIPING - DWV
PROCESSING FEE
MINIMUM FEE ADJUSTMENT
Units Unit Desi Fee Amount
I NUMBER OF $6.00
I Y OR BLANK $25.00
I Select $4.00
Permit Total Fees: $35.00
Operator CKF Printed By. CKF I'rint Date 5/20/02
Project Number: 02003861 Inv: 1
At; ?Ili cation
Date. 5/20/02 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Sen r Connection 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
Notes: — --
Payment Summary:
Permit Type
Plumbing Pernut
Sewer Connection Permit
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Permit Total Fees:
Fee Amount
$85.00
$15.00
$100.00
Fee Amount Invoice Amount Amount Paid Amount Owing
$35.00 $35.00 $0.00 $35.00
$100.00 $100.00 $0.00 $100.00
$135.00 $135.00
$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: CKF Printed By: CKF Print Date: 5/20/02