2001, 11-05 Permit App: 01009825 Sewer, Plumbing ReversalProject Number: 01009825 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/5/01 Page 1 of 2
Project Information:
Permit Use: SEWER CONNECTION - WOLFLAND /
PLUMBING REVERSAL
Setbacks: Front
Site Information:
Left: Right:
Rear:
Contact: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE
C - S - Z: GREENACRES, WA 99216
Phone: (509) 924-5485
Group Name:
Project Name:
Plat Key: CONV Name: CONVERTED CNTY DATA
District: H
Parcel Number: 45074.0446
Block:
SiteAddress: 8810 E MICHIELLI PL
SPOKANE, WA 99212
Location:: SPO
Zoning: AGRI
Water District:
Area: 0 Sq Ft Width: 95
Nbr of Bldgs: 1 Nbr of Dwellings: 2
Lot:
Owner: Name: CLARK, KIM
Address: 8810 E MICHIELLI PL
SPOKANE, WA 99212
Hold: ❑
Depth: 105 Right Of Way (ft): 0
Review Information:
Review
Road Obstruction
Permits:
Plumbing Permit
Contractor: BESTWAY PLUMBING Finn: BESTWAY PLUMBING
Address: 18416 E ALKI AVE Phone: (509) 922-1541
GREENACRES, WA 99016
Item Description
WATER PIPING - DWV
PROCESSING FEE
MINIMUM FEE ADJUSTMENT
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
1 Select
Operator: CKF Printed By: CKF
Permit Total Fees:
Print Date:
Fee Amount
$6.00
$25.00
$4.00
$35.00
11/5/01
Project Number: 01009825 Inv: 1
Application Date: 11/5/01 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Sewer Connection Permit
Contractor: COURCHAINE CONSTRUCTION Finn: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE AVE Phone: (509) 928-0846
GREENACRES, WA 99016
Item Description Units Unit Desc Fee Amount
SEWER CONNECTION 1 NUMBER OF $85.00
PROCESSING FEE 1 Y OR BLANK $15.00
Permit Total Fees: $100.00
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Plumbing Permit $35.00 $35.00 $0.00 $35.00
Sewer Connection Permit $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: 11/5/01