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2002, 09-23 Permit App: 02008232 Sewer, Plumbing ReversalProject Number: 02008232 Inv: 1 -Application THIS IS NOT A PERMIT Penalties will be assessed fug commencing work without a permit Date: 9/23/2002 Page 1 of 2 Project Information: :.::::::::::::::::::::::::::::............................. Permit Use: SEWER CONNECTION - EASTON & PLUMBING Contact: INLAND EXCAVATING & CONSTRUCT REVERSAL Address: 3417 W OLSON RD C - S - Z: DEER PARK, WA 99006 Setbacks: Front Left: Right: Rear: Phone: (509) 276-8500 Group Name: Project Name: Site Information: Plat Key: 001852 Name: OPPORTUNITY(TR.1-1421NC.143-354) District: F Parcel Number: 45162.0943 Block: SiteAddress: 1013 N PIERCE RD SPOKANE, WA 99206 Location:: SPO Zoning: UR 3.5 Water District: Lot: Owner: Name: HINER, STEVE Address: 1013 N PIERCE RD SPOKANE, WA 99206 Hold: ❑ Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 40 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: rma tion: Review Road Obstruction oa..S(AK 1O Permits: Released By: Plumbing Permit Contractor: INLAND EXCAVATING & CONST Firm: INLAND EXCAVATING & CONST Address: 3417 W OLSON RD Phone: (509) 276-8500 DEER PARK, WA 99006 Item Description WATER PIPING - DWV PROCESSING FEE MINIMUM FEE ADJUSTMENT Units Unit Desc 1 NUMBER OF 1 Y OR BLANK 1 Select Operator: RMB Printed By: RMB Fee Amount $6.00 $25.00 $4.00 Permit Total Fees: $35.00 Print Date: 9/23/2002 Project Number: 02008232 Inv: 1 - Application Date: 9/23/2002 Page 2 of 2 THIS IS NOT, A PERMIT Penalties will be assessed for commencing work without a permit Sewer Connection Permit Contractor: INLAND EXCAVATING & CONST Firm: INLAND EXCAVATING & CONST Address: 3417 W OLSON RD Phone: (509) 276-8500 DEER PARK, WA 99006 Item Description SEWER CONNECTION PROCESSING FEE Notes: .:. Payment Summarv:.;:.:<.:;,;::;;_;:.; Permit Type Plumbing Permit Sewer Connection Permit Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Permit Total Fees: Fee Amount $85.00 $15.00 $100.00 Fee Amount Invoice Amount Amount Paid Amount Owing $35.00 $35.00 $0.00 $35.00 $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 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: RMB Printed By: RMB Print Date: 9/23/2002