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2002, 10-11 Permit App: 0200903 Sewer, Plumbing Reversal, Piping Project Number: 02009003 Inv: 1 Application Date: 10/11/02 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: INT PLBG REVERSAL/SEWER Contact: NORM'S EXCAVATING CONNECT/SKYVIEW Address: P.O.BOX 574 C- S-Z: VERADALE,WA 99037 Setbacks: Front Left: Right: Rear: Phone: (509)928-0580 Group Name: Site Information: Project Name: Plat Key: 002392 Name: SKYVIEW ACRES ADD District: F Parcel Number: 45284.1110 Block: 11 Lot: 10 SiteAddress: 12117 E SKYVIEW AVE Owner:Name: CARR LIVING TRUST SPOKANE,WA USA 99206 Address: 12117 E SKYVIEW AVE Location::SPO SPOKANE,WA 99206-5762 Zoning: UNKN Unknown 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 Released By: A0. Permits: Plumbing Permit Contractor: BELKNAP PLUMBING Firm: BELKNAP PLUMBING Address: 3414 S ADAMS RD Phone: (509)921-5913 VERADALE,WA 99037 Item Description Units Unit Desc Fee Amount WATER PIPING-DWV 1 NUMBER OF $6.00 PROCESSING FEE 1 Y OR BLANK $25.00 MINIMUM FEE ADJUSTMENT 1 Select $4.00 Permit Total Fees: $35.00 Operator: JAS Printed By: JAS Print Date: 10/11/02 Project Number: 02009003 Inv: 1 Application Date: 10/11/02 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Sewer Connection Permit Contractor: NORM'S EXCAVATING Firm: NORM'S BOBCAT SERVICE Address: PO BOX 574 Phone: (509)928-0580 VERADALE,WA 99037 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 construed 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: 10/11/02