2002, 07-15 Permit App: 02005845 Sewer, Plumbing Reversal, FixturesProject Number: 020058-15 Inv: 1
Air
Application
THIS IS NOTA PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/15/02 Page 1 of 2 .
Project Information:
Permit Use- SEWER CONNECTION - EASTON / TOILET, Contact: NORM'S EXCAVATING
SHOWER, REVERSAL Address P.O. BOX 574
C - S - Z: VERADALE, WA 99037
Setbacks: Front Left: Right. Rear: Phone- (509) 928-0580
Group Name:
Site Information! Project Name'
� r
Plat Key CONY Name: CONVERTED CNTY DATA
Parcel Number: 45162.0309
Block Lot:
SiteAddress: 11412 E MAXWELL AVE
SPOKANE, WA 99206
Location:. SPO
Zoning: SFR
District: E
Owner: Nance: CHAPMAN. LETA
Addicss: 11412 E MAXWELL AVE
SPOKANE, WA 99206 -
Water District: Hold. ❑
Arca: 15,000 Sq Ft Width: 100 Depth: 150 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
•
Review
Road Obstruction
Permits:
l Released By:2 1— (S. -0 2-
t S Cc,5
..
Plumbing Permit
Contractor: BELKNAP PLUMBING Firm: BELKNAI' PLUMBING
Address 3414 S. ADAMS RD Phone: (509) 921-5913
VERADALE, WA 99037
Item Description
TOILE I'SBIDETS
SI 1O\VERS
WATER PIPING - DWV
PROCESSING FEE
Units Unit Desc
1 NUMBER OF
I NUMI3FR OF
1 NUMI3ER OF
1 'YORWANK
Operator: CKF Printed By: CKF
Permit Total Fees:
Fee Amount
$6.00
56.00
56.00
`525.00
$43 00
Print Date: 7/15/02
Project Number: 02005845 Inv. 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/15/02 Page 2 of 2
Sewer Connection Permit
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:
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Permit Total Fees:
Fee Amount
$85.00
$15.00
$100.00
Payment Summary:
Permit Type
Plumbing Permit
Sewer Connection Permit
Fee Amount
$43.00
$100.00
Invoice Amount
$43.00
$100.00
Amount Paid
$0.00
$0.00
Amount Owine
$43.00
$100.00
$143.00 $143.00 $0.00 $143.00
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: 7/15/02