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2001, 05-21 Permit App: 01003803 Plumbing, ROW, SewerAv Project Number: 01003803 Inv: 1 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: 45171.0120 Block: Lot: SiteAddress: 1421 N OBERLIN RD SPOKANE, WA 99216 Location:: SPO Zoning: UR -3.5 Urban Residential 3.5 Water District: Area: 0 Sq Ft Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Department ENGINEER Hold Reasons: Permit Conditions Review Road Obstruction b 1 scca� 1 Owner: Name: GREENE, JAMES & TERESA Address: 1421 N OBERLIN RD SPOKANE, WA 99216 Hold: ❑ Depth: 0 Right Of Way (ft): 50 Permits: — Plumbing Permit Contractor: JACKSON PLUMBING Address: P.O. BOX 7272 SPOKANE, WA 99207 Item Description TOILETSBIDETS SHOWERS WATER PIPING - DWV PROCESSING FEE Finn: RANDY JACKSON PLUMBING Phone: (509) 926-7101 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 Project Number: 01003803 Inv: I Application Date: 5/21/01 Page 2 of 2 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: $100.00 Payment Summa 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: