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2001, 10-16 Permit App: 01009142 Sewer, Plumbing Reversal, Piping r . • Project Number: 01009142 Inv: 1 Application Date: 10/16/2001 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SEWER CONNECTION-EASTON&PLUMBING Contact: NORM'S EXCAVATING REVERSAL 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: 000237 Name: BOWDISH PLACE District: F Parcel Number: 45163.0143 Block: Lot: SiteAddress: 11112 E SPRINGFIELD AVE Owner:Name: MONROE,PHILIP SPOKANE,WA USA 00000 Address: 3623 S RIDGEVIEW DR Location:: SPO SPOKANE,WA 99206-9502 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 10,443 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 R eview In ormation: :. f Review Road Obstruction Released By: it— - I5d-c-1/T e mits: Pr 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 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: MKC Printed By: MKC Print Date: 10/16/2001 4 • Project Number: 01009142 Inv: 1 Application Date: 10/16/2001 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 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: MKC Printed By: MKC Print Date: 10/16/2001