2002, 05-29 Permit App: 02004185 Plumbing Fixtures, Sewer, ROWProject Number: 02004185
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/29/02 Page 1 of 2
Project Information: Nr, w'AMY'4.IRt .: :3
Permit Use: R-INBATH/REVERSAL/SEWER Contact: COURCHAINE CONSTRUCTION
CONNECT/EASTON Address: 19818 E SPRAGUE
Setbacks: Front Left:
Right: Rear:
Site Information:
Plat Key: 003152 Name: WYATT ADD
Parcel Number: 45162.1904 Block:
SiteAddress: 10807 E SINTO AVE
SPOKANE, WA USA 99206
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: .00 Acres
Nbr of Bldgs: 0
Review Information:
Width: 0
Nbr of Dwellings: 0
C - S - Z: GREENACRES, WA 99016
Phone: (509) 924-5485
Group Name:
Project Name:
.. ,g.....: -.
District: F
Lot:
Owner: Name: DICKENS, ROBERT
Address: 10807 E SINTO AVE
SPOKANE, WA 99206-4852
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Road Obstruction
PASTDLI
Permits: n,.
Contractor: BELKNAP PLUMBING
Address: 3414 S. ADAMS RD
VERADALE, WA 99037
Item Description
TOILETS/BIDETS
SINKS
TUBS
WATER PIPING - DWV
PROCESSING FEE
Released By:
Plumbing Permit
Firm: BELKNAP PLUMBING
Phone: (509) 921-5913
Units
1
1
1
1
1
Operator: JAS Printed By: JAS
Unit Desc
NUMBER OF
NUMBER OF
NUMBER OF
NUMBER OF
Y OR BLANK
Permit Total Fees:
Print Date:
Fee Amount
$6.00
$6.00
$6.00
$6.00
$25.00
$49.00
5/29/02
Project Number: 02004185 Inv: 1
Application Date: 5/29/02 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Sewer Connection Permit
Contractor: COURCHAINE CONSTRUCTION Firm: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE AVE
GREENACRES, WA 99016
Item Description
SEWER CONNECTION
PROCESSING FEE
Phone: (509) 928-0846
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Notes: e§s
Payment Summary: MM.IWA.4V
Permit Type
Plumbing Permit
Sewer Connection Permit
Fee Amount
$49.00
$100.00
Permit Total Fees:
Invoice Amount
$49.00
$100.00
Fee Amount
$85.00
$15.00
Amount Paid
$0.00
$0.00
$100.00
Amount Owing
$49.00
$100.00
$149.00 $149.00 $0.00 $149.00
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: JAS Printed By: JAS
Print Date: 5/29/02