2002, 05-13 Permit App: 02003627 Sewer, Plumbing ReversalProject Number: 02003627 Inv: I
Appiication
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/13/02 Page 1 of 2
Project Information:
Permit Use: SEWER CONNECTION - EASTON / PLUMBING
REVERSAL
Setbacks: Front Left: Right: Rear:
I-Pwt 4740 . gym; ,.: =, .. .
Contact: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE
C - S - Z: GREENACRES, WA 99016
Phone: (509) 924-5485
Group Name:
Site Information: Project Name.
Plat Key: CONV Name: CONVERTED CNTY DATA District: F
Parcel Number: 45162.1908 Block: Lot:
SiteAddress: 10907 E SINTO AVE Owner: Name: SARQUILLA, PHIL
SPOKANE, WA 99206 Address: 10907 E SINTO AVE
Location:: SPO SPOKANE, WA 99206
Zoning: SFR
Water District:
Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 10
Review Information: tammatigam ;ttvr ,... ,,.
Review
Road Obstruction
Contractor: BELKNAP PLUMBING
Address: 3414 S. ADAMS RD
VERADALE, WA 99037
Item Description
WATER PIPING - DWV
PROCESSING FEE
MINIMUM FEE ADJUSTMENT
Plumbing Permit
Firm: BELKNAP PLUMBING
Phone: (509) 921-5913
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
1 Select
Operator: CKF Printed By: CKF
Permit Total Fees:
Fee Amount
$6.00
$25.00
$4.00
$35.00
Print Date: 5/13/02
Project Number: 02003627 Inv: 1
Aripitcatiork
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/13/02 Page 2 of 2
Sewer Connection 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
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
$35.00 $35.00
$100.00 $100.00
$135.00 $135.00
Fee Amount
$85.00
$15.00
$100.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$35.00
$100.00
$135.00
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: CKF Printed By: CKF
Print Date: 5/13/02