2001, 12-06 Permit App: 01010682 Sewer, Plumbing ReversalProject Number: 01010682 Inv: 1
Application
IHIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION - ARGONNE & Contact: COURCHAINE CONSTRUCTION
PLUMBING REVERSAL Address: 19818 E SPRAGUE
C - S - Z: GREENACRES, WA 99216
Setbacks: Front Left: Right: Rear: Phone: (509) 924-5485
Group Name:
Project Name:
Date: 12/6/2001 Page 1 of 2
Site Information:
Plat Key:
002359 Name: SHANNON'S ADD District:
Parcel Number: 45083.0130 Block:
SiteAddress: 9703 E SHANNON AVE
SPOKANE, WA 99206
Location:: SPO
Zoning: AGSUB
Water District:
Area: 0 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Lot:
Owner: Name: SIMPSON, DICK
Address: 9703 E SHANNON AVE
SPOKANE, WA 99206
Hold: Lil
Depth: 0 Right Of Way (ft): 60
Review
Road Obstruction
Permits:
to/Spie3
• • . • ,•• ••• • •• • .,•• •••••• , •••• • • • • .
Contractor: BESTWAY PLUMBING
Address: 18416 E ALKI AVE
GREENACRES, WA 99016
Item Description
WATER PIPING - DWV
PROCESSING FEE
MINIMUM FEE ADJUSTMENT
Plumbing Permit
Firm: BESTWAY PLUMBING
Phone: (509) 922-1541
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
1 Select
Operator: RMB Printed By: RMB
Fee Amount
$6.00
$25.00
$4.00
Permit Total Fees: $35.00
Print Date:
12/6/2001
Project Number: 01010682 Inv: 1
Application
THIS IS NOT A P1RMIT
Penalties will be assessed for commencing work without a permit
Date: 12/6/2001 Page 2 of 2
Sewer Connection Permit
Contractor: COURCHAINE CONSTRUCTION Firm: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE AVE
GREENACRES, WA 99016
Item Description
SEWER CONNECTION
PROCESSING FEE
Notes: :..
Permit Type
Plumbing Permit
Sewer Connection Permit
Phone: (509) 928-0846
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Permit Total Fees:
Fee Amount
$85.00
$15.00
$100.00
Fee Amount Invoice Amount Amount Paid Amount Owing
$35.00 $35.00 $0.00 $35.00
$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 fmds 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: 12/6/2001