2002, 02-14 Permit App: 02000910 Sewer, Plumbing ReversalProject Number: 02000910 Inv. 1
Application Dale: 2/14/2002 Page 1 of 2
THIS 1S NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use SEWER CONNECTION - EASTON 1 & Contact: NORM'S EXCAVATING
PLUMBING REVERSAL Address: P.O. BOX 574
C - 5 - Z: VERADALE, WA 99037
Setbacks Front Left: Right: Rear. Phone: (5119) 928-05811
Group Name:
Site Informations Project Name:
Plat Key: 001836 Name. OPP.TR. 1-354 District: F
Parcel Number: 45084.0461
Block Lot:
SiteAddress. 11161)5 E MISSION AVE Owner: Name HATFIELD, DON D
SPOKANE, WA 99206 Address: 1116115 E MISSION AVE
Location: SPO SPOKANE, WA 99206
Zoning- UNK
Water District: Hold: ❑
Arca. 7,700 Sq Ft Width 70 Depth: 111) Right Of Way (ft): 11
Nbr of Bldgs. 0 Nbr of Dwellings: 11
Review Information : .. . ....... ..
Resiew
Road Obstruction
Permits:
Released Bv: - ...
Plumbing Permit
Contractor. BELKNAP PLUMBING Finn: BELKNAP PLUMBING
Address: 3414 S. ADAMS RD Phone (5119) 921-5913
VERADALE, WA 99037
Item Description Units Unit Desc Fee Amount
WATER PIPING - D\VV I NUMBER OF $n Oil
PROCESSING FEE I Y OR BLANK $25 00
MINIMUM FEE ADJUSTMENT I Select 54.00
Operator: RMB Printed 13y RMB
Permit Total Fees: 535 00
Print Date: 2/14/2002
Project Number: 02000910 Inv. 1
Application
`.' Date:' 2/14/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Sewer Connection Permit
Contractor: NORM'S EXCAVATING Firm. NORM'S BOBCAT SERVICE
Address: PO BOX 574 Phone. (51)9) 928-0580
VERADALE, WA 99037
Item Description
SEWER CONNECTION
PROCESSING FEE
Notes:
Payment Summary:
Permit Tvpe
Plumbing Permit
Sewer Connection Permit
Units Unit Desc
1 NUMBER OF
I Y OR BLANK
Permit Total Fees:
Fee Amount Invoice Amount
$35.00
$100.00
$35.00
$100.00
$135.00 $135.00
Fee Amount
$85 01)
$15 00
Amount Paid
$0.00
$0.00
$100.00
Amount Owing
$35.00
$100.00
$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 intbrmation
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will he
complied with. Subsequent issuance of a permit shall not he contrued to he 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. RMB Printed By: RMB
Print Dale: 2/14/2002