2002, 02-12 Permit App: 02000832 Sewer, Plumbing Reversal, Piping Project Number: 02000832 Inv: 1 ` 2/12/2002 Page 1 of 2
j Application Date:
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION-SKYVIEW,PL Contact: ALLIED SEWER&BORING
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: 002392 Name: SKYVIEW ACRES ADD District: F
Parcel Number: 45284.1015 Block: Lot:
SiteAddress: 11925 E SKYVIEW AVE Owner: Name: ANDERSON,JOHN E
SPOKANE,WA USA 00000 Address: 11925 E SKYVIEW AVE
Location:: SPO SPOKANE,WA 99206-7007
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Road Obstruction j Released Bv. 7""' ""� :,
J1.. VV
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
WATER PIPING-DWV I NUMBER OF $6.00
PROCESSING FEE I Y OR BLANK $25.00
MINIMUM FEE ADJUSTMENT 1 Select $4.00
Permit Total Fees: $35.00
Operator: DMD Printed By: DMD Print Date: 2/12/2002
Project Number: 02000832 Inv: 1 ' Date: 2/12/2002 Page 2 of 2
� Apphcatlon
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
Notes: .,
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Plumbing Permit $35.00 $35.00 $0.00 $35.00
Sewer Connection Permit $100.00 $100.00 $0.00 $100.00
$135.00 $135.00 $0.00 $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: DMD Printed By: DMD Print Date: 2/12/2002