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2001, 03-13 Permit App: 01001409 Sewer, Plumbing FixturesProject Number: 01001409 Inv: 1 Application THIS IS NOT A,PERMIT Penalties will be assessed for commencing work without a permit Date: 3/13/01 Page 1 of 2 Project Information: Permit Use: SEWER CONNECTION - VALLEY VISTA & 4 PLUMBING FIXTURES Setbacks: Front Contact: NORM'S EXCAVATING Address: P.O. BOX 574 C - S - Z: VERADALE, WA 99037 Left: Right: Rear: Phone: (509) 928-0580 Group Name: Project Name: Site Information: Plat Key: 000000 Name: UNKNOWN Parcel Number: 45174.2320 Block: Lot: SiteAddress: 10417 E VALLEYWAY AVE Spokane, WA USA 99206 Location:: SPO Zoning: UNKN Unknown Water District: District: F Owner: Name: GILLINGHAM, TODD Address: 10417 E VALLEYWAY SPOKANE WA 99206 Hold: ❑ Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Department Review ENGINEER Road Obstruction Hold Reasons: " Permit Conditions: 01- 0.4 c,( Contractor: JACKSON PLUMBING Address: P.O. BOX 7272 SPOKANE, WA 99207 Item Description TOILETS/BIDETS SINKS SHOWERS WATER PIPING - DWV PROCESSING FEE IENKIEFIglaELM Plumbing Permit Firm: RANDY JACKSON PLUMBING Phone: (509) 926-7101 Units Unit Desc 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 Y OR BLANK Fee Amount $6.00 $6.00 $6.00 $6.00 $25.00 Permit Total Fees: $49.00 Project Number: 01001409 Inv: 1 Application THIS ISNOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 3/13/01 Page 2 of 2 Sewer Permit Contractor: NORM'S EXCAVATING Firm: NORM'S BOBCAT SERVICE Address: PO BOX 574 Phone: (509) 928-0580 VERADALE, WA 99037 Item Description SEWER CONNECTION PROCESSING FEE Payment Summary: Operator: MKC Permit Type Plumbing Permit Sewer Permit Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Printed By: MKC Permit Total Fees: Print Date: Fee Amount $85.00 $15.00 $100.00 3/13/01 Fee Amount Invoice Amount Amount Paid Amount Owing $49.00 $49.00 $0.00 $49.00 $100.00 $100.00 $0.00 $100.00 $149.00 $149.00 $0.00 $149.00 NotesK_:._ _ , .: .. .._, , .., ....^�;.... w°�.�«t w:�?Y'sTrs:*- �:.xa- -_:::._