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2002, 06-18 Permit App: 02004894 Sewer, Plumbing FixturesProject Number: 02004894 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/18/2002 Page 1 of 2 Project Information: Permit Use: SEWER CONNECTION - HUTCHINSON & 3 Contact: ALLIED SEWER & BORING PLUMBING FIXTURES Setbacks: Front Left: Right: Rear: Site Information: ....................................................... Plat Key: 001288 Name: HUTCHINSON'S ADD Address: 9317 S FREEMAN DR C - S - Z: MEDICAL LAKE, WA 99022 Phone: (509) 924-8508 Group Name: Project Name: District: F Parcel Number: 45181.0406 Block: 8 SiteAddress: 8916 E SINTO AVE SPOKANE, WA USA 00000 Location:: SPO Zoning: UR -3.5 Water District: Area: 19,338 Sq Ft Nbr of Bldgs: 0 Urban Residential 3.5 Width: 0 Nbr of Dwellings: 0 Lot: 4 Owner: Name: Address: HESS, DARIN D & CINDY L 8916 E SINTO AVE SPOKANE, WA 99212-2541 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Road Obstruction Permits: 02,5 L-0 Contractor: BESTWAY PLUMBING Address: 18416 E ALKI AVE GREENACRES, WA 99016 Item Description TOILETS/BIDETS SHOWERS WATER PIPING - DWV PROCESSING FEE Plumbing Permit Firm: BESTWAY PLUMBING Phone: (509) 922-1541 Units Unit Desc 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 Y OR BLANK Operator: RMB Printed By: RMB Permit Total Fees: Print Date: Fee Amount $6.00 $6.00 $6.00 $25.00 $43.00 6/18/2002 Project Number: 02004894 Inv: 1 Application Date: 6/18/2002 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 Finn: ALLIED SEWER BORING COMPA Address: 9317 S FREEMAN DR Phone: (509) 924-8508 MEDICAL LAKE, WA 99022 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 Permit Total Fees: Fee Amount Invoice Amount $43.00 $43.00 $100.00 $100.00 Fee Amount $85.00 $15.00 Amount Paid $0.00 $0.00 $100.00 Amount Owing $43.00 $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: RMB Printed By: RMB Print Date: 6/18/2002