2002, 10-08 Permit App: 02008884 Sewer, Plumbing ReversalProject Number. 02008884 Inv: /
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/8/02 Page 1 of 2
Project Information:
L _
Permit Use: INT PLBG REVERSAL/SEWER Contact: %BEST CONSTRUCTION
CONNECT/SKYVIEW Address: PO BOX 13421
C - S - Z. SPOKANE, WA. 99213
Setbacks: Front Left: Right: Rear: Phone: (509) 891-9949
Group Name:
Site Information: Project Name:
Plat Key: 002392 Name: SKYVIEW ACRES ADD
District: F
Parcel Number: 45284.1202
Block: Lot:
SiteAddress: 2812 S PINES RD
SPOKANE, LVA 99206
Location:: SPO
Zoning: UNKN
Water District:
Area: 0 Sq Et
Unknown
Width: 0
Owner: Name: DERR, NATHAN
Address: 2812 S PINES RD
SPOKANE, WA 99206
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Road Obstruction
Released By:
C op ne-02'
o&.sLZ 955
Permits -
Plumbing Permit
Contractor: BELKNAP PLUMBING Firm: BELKNAP PLUMBING
Address: 3414 S ADAMS RD
VERADALE, WA 99037
Item Description
WATER PIPING - DWV
PROCESSING FEE
MINIMUM FEE ADJUSTMENT
Phone: (509) 921-5913
Units Unit Desc Fee Amount
1 NUMBER OF $6.00
1 Y OR BLANK $25.00
1 Select $4.00
Operator: JAS Printed I3y: JAS
Permit Total Fees: $35.00
Print Date: 10/8/02
Project Number: 02008884 Inv: I
Application
THIS IS NOTA PERMIT
Penalties will be assessed for commencing work without a permit
Date. 10/8/02 Page 2 of 2
Sewer Connection Permit
Contractor Z BEST CONSTRUCTION Firm: Z BEST CONSTRUCTION
Address: P O BOX 13241 AVE Phone: (509) 891-9949
SPOKANE, WA 99213-3241
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
$35.00
$100.00
Invoice Amount
$35.00
$100.00
$135.00 $135.00
Amount Paid
$0.00
$0.00
Amount Owine
$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 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 construed 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: JAS Printed By: JAS
Print Date: 10/8/02