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2002, 03-08 Permit App: 02001444 Sewer Project Number: 02001444 Inv: 1 Application Date: 3/8/2002 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SEWER CONNECTION-HUTCHINSON,TOILET, Contact: ALLIED SEWER&BORING SHOWER,PL REVERSAL Address: 9317 S FREEMAN DR C -S -Z: MEDICAL LAKE,WA 99022 Setbacks: Front Left: Right: Rear: Phone: (509)924-8508 Group Name: Site Information: Project Name Plat Key: 000000 Name: UNKNOWN District: F Parcel Number: 45181.0816 Block: Lot: SiteAddress: 8609 E SHARP AVE Owner:Name: FALCONBURG,JANET W/OGLE, SPOKANE,WA USA 00000 Address: 8609 E SHARP AVE Location:: SPO SPOKANE,WA 99212 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 11,967 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: p a GL-A31/ _ Permits: Plumbing Permit Contractor: BESTWAY PLUMBING Firm: BESTWAY PLUMBING Address: 18416 E ALKI AVE Phone: (509)922-1541 GREENACRES,WA 99016 Item Description Units Unit Desc Fee Amount TOILETS/BIDETS 1 NUMBER OF $6.00 SHOWERS 1 NUMBER OF $6.00 WATER PIPING-DWV 1 NUMBER OF $6.00 PROCESSING FEE 1 Y OR BLANK $25.00 Permit Total Fees: $43.00 Operator: DMD Printed By: DMD Print Date: 3/8/2002 r , F Project Number: 02001444 Inv: 1 Application Date: 3/8/2002 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Sewer Connection Permit Contractor: ALLIED SEWER BORING Firm: ALLIED SEWER BORING COMPA Address: 9317 S FREEMAN DR Phone: (509)924-8508 MEDICAL LAKE,WA 99022 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 $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: 3/8/2002