2002, 06-10 Permit App: 02004611 Sewer, Plumbing ReversalProject Number: 02004611 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/10/2002 Page 1 of 2
Project Information:
............... .
Permit Use: SEWER CONNECTION - VALLEY VISTA &
PLUMBING REVERSAL
Setbacks: Front Left: Right: Rear:
Site Information:
Plat Key: 001834 Name: OPP.TR. 1-354 District: F
Contact: H & S CONSTRUCTION
Address: 11817 E. VALLEYWAY AVE
C - S - Z: SPOKANE WA 99206
Phone: (509) 926-8964
Group Name:
Project Name:
Parcel Number: 45163.0406 Block:
Lot:
SiteAddress: 10904 E VALLEY WAY Owner: Name:
SPOKANE, WA USA 00000 Address:
Location:: SPO
ACKERMAN, C C
10904 E VALLEYWAY AVE
SPOKANE, WA 99206-5055
Zoning: UR -3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 15,513 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review
Road Obstruction
Contractor: H & S CONSTRUCTION
Address: 11817 E VALLEYWAY AVE
SPOKANE, WA 99206
Item Description
WATER PIPING - DWV
PROCESSING FEE
MINIMUM FEE ADJUSTMENT
:_i.e.,,,.1
Released.':. tC� [
Plumbing Permit
Firm: H & S CONSTRUCTION
Phone: (509) 926-8964
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
1 Select
Operator: RMB Printed By: RMB
Permit Total Fees:
Print Date:
Fee Amount
$6.00
$25.00
$4.00
$35.00
6/10/2002
Project Number: 02004611 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/10/2002 Page 2 of 2
Sewer Connection Permit
Contractor: H & S CONSTRUCTION Finn: H & S CONSTRUCTION
Address: 11817 E VALLEYWAY AVE Phone: (509) 926-8964
SPOKANE, WA 99206
Item Description
SEWER CONNECTION
PROCESSING FEE
Notes:
Payment Summary: .......::::::.:: .
Permit Type
Plumbing Permit
Sewer Connection Permit
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Permit Total Fees:
Fee Amount
$85.00
$15.00
$100.00
Fee Amount Invoice Amount Amount Paid Amount Owing
$35.00 $35.00 $0.00
$100.00 $100.00 $0.00
$135.00 $135.00
$35.00
$100.00
$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: RMB Printed By: RMB Print Date: 6/10/2002