2002, 05-20 Permit App: 02003862 Sewer, Plumbing ReversalProject Number: 02003862 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/20/02 Page 1 of 2
Project Information:
Permit Use: SEWER CONNECTON - WEST VALLEY /
PLUMBING REVERSAL
Setbacks: Front
Left: Right:
Rear:
Site Information:
Plat Key: 002877 Name: WEST VALLEY ADD #5
Contact:
Address:
C - S - Z:
Phone:
Group Name:
Project Name:
COURCHAINE CONSTRUCTION
19818 E SPRAGUE
GREENACRES, WA 99016
(509) 924-5485
District: H
Parcel Number: 45073.0160 Block: 4 Lot: 4
SiteAddress: 7912 E SHANNON AVE
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UR -3.5
Water District:
Area: 11,900 Sq Ft
Urban Residential 3.5
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Road Obstruction
CXLS $g
Permits:
Contractor: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE AVE
GREENACRES, WA 99016
Item Description
WATER PIPING - DWV
PROCESSING FEE
MINIMUM FEE ADJUSTMENT
Owner: Name:
Address:
REKTOR, KATHIE L
7912 E SHANNON AVE
SPOKANE, WA 99212-2446
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Released By:
Plumbing Permit
Firm: COURCHAINE CONSTRUCTION
Phone: (509) 928-0846
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
1 Select
Operator: CKF Printed By: CKF
Permit Total Fees:
Print Date:
Fee Amount
$6.00
$25.00
$4.00
$35.00
5/20/02
Project Number: 02003862 Inv: 1
Ap lication
THIS IS NOT A PERMIT
Date: 5/20/02 Page 2 of 2
Penalties will be assessed for commencing work without a permit
...
Sewer Connection Permit
Contractor: COURCHAINE CONSTRUCTION Firm: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE AVE Phone: (509) 928-0846
GREENACRES, WA 99016
Item Description
SEWER CONNECTION
PROCESSING FEE
Notes:
Payment Summary:
Permit Type
Plumbing Permit
Sewer Connection Permit
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Fee Amount
$35.00
$100.00
Permit Total Fees:
Invoice Amount
$35.00
$100.00
$135.00 $135.00
Fee Amount
$85.00
$15.00
Amount Paid
$0.00
$0.00
$0.00
$100.00
Amount Owing
$35.00
$100.00
$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: CKF Printed By: CKF
Print Date: 5/20/02