2002, 05-13 Permit App: 02003626 Sewer, Plumbing ReversalProject Number: 02003616 Inv: 1"'
�: AppllCa(1011 Date: 5/13/02 Page 1 oft
THIS IS NOT A PERMIT'
Penalties will be assessed for commencing work without a permit
Proiect /ht formation: _
Permit Use. SEWER CONNEC'T'ION - PONDEROSA / Contact: COURCHAINE CONSTRUCTION
PLUM BING-REV E,RSAL Address: 19818 E SPRAGUE
C - S - Z: GREENACRES, WA 99016
Setbacks: Front Left: Right: Rear: Phone: (509) 924-5485
Group Name:
Site /nforntation: Project Name:
M
Plat Key: 001743 Name: MYRON ESTATES NO 8 District: E
Parcel Number: 44042.2028 Block:
SiteAddress: 11123 E PONDEROSA DR
SPOKANE, WA 99206
Location:: SPO
Zoning: UR -3.5 Urban Residential 3.5
Water District -
Area: 0 Sq Ft Width: 0
Nbr of Bldgs: I Nbr of Dwellings: 1
Lot:
Owner: Name: SCHMISTER. SCOTT
Address: 11123 E PONDEROSA DR
SPOKANE, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 60
Review /nforntation • r—=---- —
Review
Road Obstruction
-o N -STS .
Permits:
— -- - - P6unbingPerm it ---
Contractor: BELKNAP PLUMBING
Address: 3414 S. ADAMS RD
VERADALE, %VA 99037
Item Description
WATER PIPING -DWV
PROCESSING I FE
MININIUNI FEE ADJUSTibIENT
Firm: BELKNAP PLUMBING
Phone: (509) 921-5913
Units Unit Desc Fee Amount
I NUMBEROF $6.00
1 Y OR BLANK 525.00
I Select $4.00
Pcrmit Total Fees: $35.00
Operator: CKF Printed By: CKF Print Date: 5/13/02
Project Number: 02003626 Inv: I Application' Date: 5/13/02 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 Firm: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE AVE Phone: (509) 928-0846
GREENACRES, WA 99016
Item Description Units Unit Desc Fee Amount
SEWER CONNECTION I NUMBER OF $85.00
PROCESSING FEE I 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: 5/13/02