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2001, 05-21 Permit App: 01003804 Plumbing, ROW, Sewerr Project Number: 01003804 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 AND Contact: NORM'S EXCAVATING PLUMBING REVERSAL 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: 45171.0119 Block: 2 Lot: 5 SiteAddress: 1427 N OBERLIN RD SPOKANE, WA USA 99206 Location:: SPO Zoning: UR -3.5 Urban Residential 3.5 Water District: Area: 12,375 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Owner: Name: GRAHAM, ANGELA Address: 1427 N OBERLIN RD SPOKANE, WA 99206-3930 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Department Review ENGINEER Road Obstruction �R aed:B Hold Reasons: Permit Conditions: (0 1 SCC Permits: Plumbing Permit Contractor: JACKSON PLUMBING Address: P.O. BOX 7272 SPOKANE, WA 99207 Firm: RANDY JACKSON PLUMBING Phone: (509)926-7101 Item Description Units Unit Desc Fee Amount WATER PIPING - DWV 1 NUMBER OF $6.00 PROCESSING FEE 1 Y OR BLANK $25.00 MINIMUM FEE ADJUSTMENT 1 Select $4.00 Permit Total Fees: $35.00 Project Number: 01003804 ft 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 --- -- - - - ------ - --- - -- -- - - - -- ewer 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 Summary: Operator: MKC Printed By: MKC Print Date: 5/21/01 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Plumbing Permit $35.00 $35.00 $0.00 $35.00 Sewer Permit $100.00 $100.00 $0.00 $100.00 $135.00 $135.00 $0.00 $135.00 Notes: