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2001, 05-21 Permit App: 01003802 Plumbing, ROW, SewerProject Number: 01003802 Inv: I Application Date: 5/21/01 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Proiect Information: Permit Use: SEWER CONNECTION - EASTON 1/TOILET, Contact: NORM'S EXCAVATING SHWR AND PL REV 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: 000148 Name: BARMETTLER'S ADD. District: F Parcel Number: 45171.0121 Block: Lot: SiteAddress: 1413 N OBERLIN RD Owner: Name: DEHN, DALE SPOKANE, WA 99216 Address: 1413 N OBERLIN RD Location:: SPO SPOKANE, WA 99216 Zoning: UR -3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 50 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review Information: Department Review ENGINEER Road Obstruction °13 Hold Reasons: Permit Conditions: 01 'S �� 3 Q _ Item Description TOILETSMIDETS SHOWERS WATER PIPING - DW V PROCESSING FEE Units Unit Desc Fee Amount 1 NUMBER OF $6.00 1 NUMBER OF $6.00 1 NUMBER OF $6.00 1 Y OR BLANK $25.00 Permit Total Fees: $43.00 h Project Number: 01003802 Inv: I Application Date: 5/21/01 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit _- — Sewer Permit Contractor: NORM'S EXCAVATING Firm: NORM'S BOBCAT SERVICE Address: PO BOX 574 Phone: (509) 928-0580 VERADALE, WA 99037 Item Description Units Unit Desc Fee Amount SEWER CONNECTION 1 NUMBER OF $85.00 PROCESSING FEE 1 Y OR BLANK $15.00 Permit Total Fees: Payment Summa $100.00 Page 2 of 2 Operator: MKC Printed By: MKC Print Date: 5/21/01 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Plumbing Permit $43.00 $43.00 $0.00 $43.00 Sewer Permit $100.00 $100.00 $0.00 $100.00 $143.00 $143.00 $0.00 $143.00 Notes: