2002, 05-13 Permit App: 02003623 Sewer, Plumbing FixturesProject Number: 02003623 Inv: 1
Application
Date: 5/13/02 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECT - VALLEY VISTA / TOILET,
SHOWER, SINK, REVERSAL
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: 001854 Name: OPPORTUNITY PLAT 3
Parcel Number: 45174.2443
Block:
SiteAddress: 10404 E VALLEYWAY AVE
SPOKANE, WA 99206
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Contact: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE
C - S - Z: GREENACRES, WA 99016
Phone: (509) 924-5485
Group Name:
Project Name:
District:
Lot:
Owner: Name: BUSKO, KAREN
Address: 10404 E VALLEYWAY AVE
SPOKANE, WA 99206
Hold: ❑
Area: 0 Sq Ft Width: 76 Depth: 276 Right Of Way (ft): 40
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction
Permits:
oa5rD3d 1
Contractor: BELKNAP PLUMBING
Address: 3414 S. ADAMS RD
VERADALE, WA 99037
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
WATER PIPING - DWV
PROCESSING FEE
E
Released By:
Plumbing Permit
Firm: BELKNAP PLUMBING
Phone: (509) 921-5913
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 Y OR BLANK
Operator: CKF Printed By: CKF
Permit Total Fees:
Print Date:
Fee Amount
$6.00
$ 6.00
$6.00
$6.00
$25.00
$49.00
5/13/02
Project Number: 02003623 Inv: 1
Application
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: .1
Payment Summary :.=
Permit Type
Plumbing Permit
Sewer Connection Permit
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Fee Amount
$49.00
$100.00
$149.00
Permit Total Fees:
Invoice Amount
$49.00
$100.00
$149.00
Fee Amount
$85.00
$15.00
$100.00
Amount Paid
$0.00
$0.00
Amount Owing
$49.00
$100.00
$0.00 $149.00
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