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2001, 07-10 Permit App: 01005524 Sewer, Plumbing ReversalProject Number: 01005524 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 7/10/01 Page 1 of 2 Project Information: Permit Use: SEWER CONNECTION - EASTLAND / REVERSAL Contact: INLAND EMPIRE EXCAVATION Address: 10211 E. DRIFTWOOD C - S - Z: SPOKANE, WA 99206 Setbacks: Front Left: Right: Rear: Phone: (509) 891-1586 Group Name: Site Information: Project Name: Plat Key: 003517 Name: MAXWELL ADD District: F Parcel Number: 45162.0420 Block:2 Lot: 2 SiteAddress: 10812 E MAXWELL AVE SPOKANE, WA USA 00000 Location:: SPO Zoning: UNKN Water District: Unknown Area: 12,202 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Owner: Name: RICHMOND, LISA Address: 10812 E MAXWELL AVE SPOKANE, WA 99206-4894 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Information: Department Review ENGINEER Road Obstruction Hold Reasons: ? �" Permit Conditions: 0` SLQ.Jo� Released By: 7-0- 0/ Permits: Plumbing Permit Contractor: BELICNAP PLUMBING Firm BELKNAP PLUMBING Address: 3414 S. ADAMS RD Phone: (509) 921-5913 VERADALE, WA 99037 Item Description WATER PIPING - DWV PROCESSING FEE MINIMUM FEE ADJUSTMENT 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: 01005524 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 7/10/01 Page 2 of 2 Sewer Permit Contractor: INLAND EMPIRE EXCAVATION Firm: INLAND EMPIRE EXCAVATION I Address: 10211 E DRIFTWOOD Phone: (509) 891-1586 SPOKANE, WA 99206 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: CIO Printed By: CKF Print Date: 7/10/01 Permit Type Plumbing Permit Sewer Permit 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 Notes: