2002, 03-15 Permit App: 02001635 Sewer, Plumbing ReversalProject Number: 02001635 Inv: 1
Application
Date: 3/15/02 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 - MILLER PARK / Contact: ALLIED SEWER & BORING
PLUMBING REVERSAL Address: 9317 S FREEMAN DR
C - S - Z: MEDICAL LAKE, WA 99022
Setbacks: Front Phone: (509) 924-8508
Group Name:
Project Name:
Left: Right: Rear:
Site Information:
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Plat Key: 002810 Name: WALLACE ADD
Parcel Number: 352413006 Block:
SiteAddress: 601 S THIERMAN RD
SPOKANE, WA 99212
Location:: SPO
Zoning: UR -3.5
Water District:
Area: 10,683 Sq Ft
Urban Residential 3.5
Lot:
District: D
Owner: Name: SCHULLER, GORDON & NANCY
Address: 601 S THIERMAN RD
SPOKANE, WA 99212
Hold: ❑
Width: 138 Depth: 77 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction
Permits:
SL -Ii !22_
Contractor: BESTWAY PLUMBING
Address: 18416 E ALKI AVE
GREENACRES, WA 99016
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Plumbing Permit
Firm: BESTWAY PLUMBING
Phone: (509) 922-1541
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
Operator: CKF Printed By: CKF
Permit Total Fees: $35.00
Print Date: 3/15/02
Project Number: 02001635 Inv: 1
Application
THIS IS NOT A PIRMIT
Penalties will be assessed for commencing work without a permit
Date: 3/15/02 Page 2 of 2
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
SEWER CONNECTION
PROCESSING FEE
Payment Summary: p, e:;
Permit Type
Plumbing Permit
Sewer Connection Permit
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Fee Amount
$35.00
$100.00
Permit Total Fees:
Invoice Amount
$35.00
$100.00
Fee Amount
$85.00
$15.00
$100.00
Amount Paid
$0.00
$0.00
MOM
Amount Owing
$35.00
$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: CKF Printed By: CKF
Print Date: 3/15/02