2002, 02-12 Permit App: 02000833 SewerProject Number: 02000833 Inv: I r 4 vkpplication Date: 2/12/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Parcel Number: 45181.0319 Block: Lot:
SiteAddress: 1218 N SARGENT RD
SPOKANE, WA 99212
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: :.
Review
Road Obstruction
Owner: Name: PRITCHARD, DIANE
Address: 1218 N SARGENT RD
SPOKANE, WA 99212
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Released By: c
Item Description
TOILETSBIDETS
SHOWERS
WATER PIPING - DWV
PROCESSING FEE
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
Operator: DMD Printed By: DMD Print Date: 2/12/2002
Project Number: 02000833 Inv: 1 A hca ' Date: 2/12/2002 Page 2 of 2
THIS IS NOT A PtRMIT
Penalties will be assessed for commencing work without a permit
Contractor: ALLIED SEWER BORING
Address: 9317 S FREEMAN DR
MEDICAL LAKE, WA 99022
Item Description
SEWER CONNECTION
PROCESSING FEE
Notes:
Sewer Connection Permit
Firm: ALLIED SEWER BORING COMPA
Phone: (509) 924-8508
Units Unit Desc Fee Amount
1 NUMBER OF $85.00
1 Y OR BLANK $15.00
Permit Total Fees: $100.00
Payment Summary: __
Permit IWe Fee Amount Invoice Amount Amount Paid Amount Owing
Plumbing Permit $43.00 $43.00 $0.00 $43.00
Sewer Connection Permit $100.00 $100.00 $0.00 $100.00
$143.00 $143.00 $0.00 $143.00
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: DMD Printed By: DMD Print Date: 2/12/2002