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2002, 10-29 Permit App: 02009626 Plumbing Fixtures Project Number: 02009626 Inv: I Application Date: 10/29/2002 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: TOILET,TUB,2 SINKS &WATER PIPING IN Contact: SIOR,CRAIG&AMANDA SHOP Address: 13220 E SANSON AVE C - S -Z: SPOKANE,WA 99216 Setbacks: Front Left: Right: Rear: Phone: (509)926-4661 Group Name: Project Name: Site Information: Plat Key: 002861 Name: WEST FARMS IRRIGATED TR.PLAT#4 District: H Parcel Number: 46344.0304 Block: Lot: SiteAddress: 13220 E SANSON AVE Owner: Name: SIOR,CRAIG&AMANDA SPOKANE,WA 99216 Address: 13220 E SANSON AVE Location:: SPO SPOKANE,WA 99216 Zoning: UR 3.5 Water District: Hold: ❑ Area: 0 Sy Ft Width: 200 Depth: 234 Right Of Way(ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: . Review Septic System Review Released By: -n- Pti Permits: . Plumbing Permit Contractor: OWNER Firm: OWNER Phone: Item Description Units Unit Desc Fee Amount TOILETS/BIDETS 1 NUMBER OF $6.00 SINKS 2 NUMBER OF $12.00 TUBS 1 NUMBER OF $6.00 WATER PIPING-DWV 1 NUMBER OF $6.00 PROCESSING 1-.EE 1 Y OR BLANK $25.00 Permit Total Fees: $55.00 Operator: RMB Printed By: RMB Print Date: 10/29/2002 Project Number: 02009626 Inv: 1 Application Date: 10/29/2002 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes: Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Plumbing Permit $55.00 $55.00 $0.00 $55.00 $55.00 $55.00 $0.00 $55.00 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: 10/29/2002