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2000, 09-05 Permit App: 00007815 Sewer, Plumbing ReversalProject Numbei: 00007815 Inv 1 Application Date. 09/05/2000 Page I of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Usc. SEWER CONNECTION - EAS'I'ON & PLUMBING Contact NORM'S EXCAVATING REVERSAL Address: P.O. BOX 574 C - S - Z: VERADALE, WA 99037 Setbacks Front Left. Right. Rear: Phone: (509) 928-0580 Group Name - Site Inforn ation: Project Name. Plat Key: 001836 Name OPP:rn. 1-354 District: E I'aicel Number: 45171.0507 Block: Lot: SiteAddress: 10104 E MISSION AVE SPOKANE, WA 99206 Location.: SPO Zonme AGSUB Water District Owner Name: BRAATEN, FLOYD Address- 10104 E MISSION AVE SI'OKANE, WA 99206 Bold: ❑ Area: 0 Sq Ft Width 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review In formation: -- --- Department Review U'T'ILITIES Review by Utilities Hold Reasons Permits: Permit Conditions IReleased 13y: _or ?G./aryl �CC1 ROAD OBSTRUCTION PERMIT Plumbing Permit Contractor: JACKSON PLUMBING Firm: RANDY .JACKSON PLUMBING Address: P.O. BOX 7272 Phone (509) 926-7101 - -SPOKANE. SVA 99207 Item Description WATER PIPING - DWV PROCESSING FEE MINIMUM FEE ADJUSTMENT Units Unit Desc Fee Amount I NUMBER OF $6.00 1 Y OR BLANK $25.00 1 Select $4.00 Permit Total Fees: $35.00 Project Number: 000078/5 Inv: / • • P Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 09/05/2000 Page 2 of 2 Sewer Permit Contractor: NORNI'S EXCAVATING Firni: NORM'S BOBCAT SERVICE Address: PO BOX 574 Phone: (509) 928-0580 VERADALE, WA 99037 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: RMB Printed By: RMB Print Date: 09/05/2000 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owtno Plumbing Permit $35.00 $35.00 $0 00 $35.00 Sewer Permit $100.00 $100.00 $0.00 $100.00 $135.00 $135.00 $0.00 $135.00 Notes: , „M a