2002, 07-16 Permit App: 02005968 Sewer, Plumbing Reversal, FixturesProject Number: 02005968 Inv:
Application
Date: 7/16/02 Page 1 of 2
THIS ISNOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION - MISSION / 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:
Plat Key 000848 Name FARR-MISSION SUB
District: F
Parcel Number: 45083.0461'::
Block Lot:
SiteAddress• 9707 E MISSION AVE
SPOKANE, WA 99206
Location:: SPO
Zoning: AGSUB
Water District
Owner: Name: RO'1'HGEB, HAROLD
Addicss: 9707 E MISSION AVE
SPOKANE, WA 99206
Hold: LI
Arca: 0 Sq Ft Width: 135 Depth: 142 Right Of Way (ft): 60
Nbr of Bldgs: 0 Nbr of Dwellings .1
Review Information: • .,
Review
Road Obstruction
Permits:
Released By7_/4... o}
0
—oP,,Ica-577
Contractor: BELKNAP PLUMBING
Addiess: 3414 S ADAMS RD
VERADALE. WA 99037
Item Description
TOILETS/BIDETS
SHOWERS
WATER PIPING - DWV
PROCESSING FEE
Plumbing Permit
Firm: BELKNAP PLUMBING
Phone: (509) 921-5913
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
I NUMBER OF
I Y OR BLANK
Operator: CKF Printed By: CKF
Fee Amount
56.00
S6.00
56.00
525 00
Permit Total Fees: S43 00
Print Date: 7/16/02
Project Number: 02005968
Application
THIS IS NOTA I1 RMIT
Penalties will be assessed for commencing work without a permit
Inv: I Date 7/16/02 Page 2 of 2
Contractor: NORM'S EXCAVATING
Address: PO BOX 574
VERADALE, WA 99037
Item Description
SEWER CONNECTION
PROCESSING FEE
Notes:
Server Connection Permit
Firm: NORM'S BOBCAT SERVICE
Phone: (509) 928-0580
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Permit Total Fees:
Fee Amount
$85.00
$15.00
$100.00
Payment Suuuaurf: L
Permit Type
Plumbing Permit
Sewer Connection Permit
Fee Amount Invoice Amount
$43.00
$100.00
$43.00
$100.00
Amount Paid
$0.00
$0.00
Amount Owing
$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 Dale: 7/16/02