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2001, 06-25 Permit App: 01005059 Sewer, Plumbing ReversalProject Number: 01005059 Inv: 1 Application Date: 6/25/01 THIS`IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SEWER CONNECTION - VALLEY VISTA / PLUMBING REVERSAL Setbacks: Front Site Information: Plat Key: 001497 Name: LOCKWOOD HEIGHTS SUB OF TR.28 OPP Left: Right: Rear: Page 1 of 2 Contact: COURCHAINE CONSTRUCTION Address: 19818 E SPRAGUE C - S - Z: GREENACRES, WA 99216 Phone: (509) 924-5485 Group Name: Project Name: District: F Parcel Number: 45171.0314 Block: 2 SiteAddress: 10602 E SINTO AVE SPOKANE, WA USA 99206 Location:: SPO Zoning: UNKN Unknown Water District: Area: 10,422 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: y.au;,ww Lot: 3 Owner: Name: SIMONS, BARB Address: 10602 E SINTO AVE SPOKANE, WA 99206-3960 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Department ENGINEER Hold Reasons: Permit Conditions: Permits: Review Road Obstruction 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 Permit Total Fees: Fee Amount $6.00 $25.00 $4.00 $35.00 Project Number: 01005059 Inv: 1 Application THIS IS NOT A'PE MIT Penalties will be assessed for commencing work without a permit Date: 6/25/01 Page 2 of 2 Sewer 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 Payment Summary: Operator: CKF Permit Type Plumbing Permit Sewer Permit Notes: Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Permit Total Fees: Printed By: CKF Print Date: Fee Amount Invoice Amount $35.00 $35.00 $100.00 $100.00 $135.00 $135.00 Fee Amount $85.00 $15.00 Amount Paid $0.00 $0.00 $100.00 6/25/01 Amount Owing $35.00 $100.00 $0.00 $135.00