2002, 09-23 Permit App: 02008230 Sewer, Plumbing Reversal, Piping, ROW Project Number: 02008230 Inv: 1 Application Date: 9/23/2002 Page 1 of 2
THIS IS NOTA PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION-WALNUT&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:
Site Information: Project Name
Plat Key: 001856 Name: OPPORTUNITY SUB.TR65 District: E
Parcel Number: 45172.1336 Block: Lot:
SiteAddress: 1101 N RUDOLF RD Owner: Name: LOCKE,IRENE
SPOKANE,WA 99206 Address: 1101 N RUDOLF RD
Location:: SPO SPOKANE,WA 99206
Zoning: UR 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: 0
Review Information:
Review
Road Obstruction Released By* -_�
a5ILA tcS018
Permits:
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 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
Operator: RMB Printed By: RMB Print Date: 9/23/2002
Project Number: 02008230 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 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:
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 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