2002, 04-09 Permit App: 02002385 Sewer, Plumbing Reversal Project Number: 02002385 Inv: 1 Application Date: 4/9/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION-EASTON 1 & Contact: ALLIED SEWER& BORING
PLUMBING REVERSAL Address: 9317 S FREEMAN DR
C- S -Z: MEDICAL LAKE,WA 99022
Setbacks:Front Left: Right: Rear: Phone: (509)924-8508
Group Name:
Site Information: Project Name:
Plat Key: 002738 Name: VALLEY VISTA SUB District: F
Parcel Number: 45084.0475 Block: Lot:
SiteAddress: 1805 N RAYMOND RD Owner: Name: PERRY,DEBRA
SPOKANE,WA 99206 Address: 1805 N RAYMOND RD
Location:: SPO SPOKANE,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 1000
Review Information: .
Review
Road Obstruction Released By: 4
SL2 e
Permits:
Plumbing Permit
Contractor: BESTWAY PLUMBING Firm: BESTWAY PLUMBING
Address: 18416 E ALKI AVE Phone: (509)922-1541
GREENACRES,WA 99016
Item Description Units Unit Desc Fee Amount
WATER USING DEVICES I NUMBER OF $6.00
PROCESSING FEE 1 Y OR BLANK $25.00
MINIMUM FEE ADJUSTMENT I Select $4.00
Permit Total Fees: $35.00
Operator: RMB Printed By: RMB Print Date: 4/9/2002
Project Number: 02002385 Inv: I Application Date: 4/9/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Sewer Connection Permit - - -
Contractor: ALLIED SEWER BORING Firm: ALLIED SEWER BORING COMPA
Address: 9317 S FREEMAN DR Phone: (509)924-8508
MEDICAL LAKE,WA 99022
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
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: RMB Printed By: RMB Print Date: 4/9/2002