2002, 05-13 Permit App: 02003624 Sewer, Plumbing ReversalProject Number: 02003624
Inv: I
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 CONNECTION - EASTON 2 / PLUMBING
REVERSAL
Setbacks: Front Left:
Right: Rear:
Site Information:
Plat Key: 001857 Name: OPPORTUNITY SUBURBS
Parcel Number: 45163.0209 Block: 109 Lot:
Contact: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE
C - S - Z: GREENACRES, WA 99016
Phone: (509) 924-5485
Group Name:
Project Name:
SiteAddress: 10821 E VALLEYWAY AVE
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: 1.06 Acres
Nbr of Bldgs: 0
Review Information:
Review
Road Obstruction
Permits:
Width: 0
Nbr of Dwellings: 0
off_ MP3(e2
Owner: Name:
Address:
District: F
KOLBAR, E L
PO BOX 2803
SPOKANE, WA 99220-2803
Hold: 0
Depth: 0 Right Of Way (ft): 0
Released By:
Plumbing Permit
Contractor: BELKNAP PLUMBING Firm: BELKNAP PLUMBING
Address: 3414 S. ADAMS RD Phone: (509) 921-5913
VERADALE, WA 99037
Item Description
WATER PIPING - DWV
PROCESSING FEE
MINIMUM FEE ADJUSTMENT
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
I Select
Operator: CKF Printed By: CKF
Permit Total Fees:
Print Date:
Fee Amount
$6.00
$25.00
$4.00
$35.00
5/13/02
5I131to?
Project Number: 02003624 Inv: 1
Contractor:
Address:
Application "
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/13/02
Sewer Connection Permit
COURCHAINE CONSTRUCTION
19818 E SPRAGUE AVE Phone: (509) 928-0846
GREENACRES, WA 99016
Firm: COURCHAINE CONSTRUCTION
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
Fee Amount
$35.00
$100.00
$135.00
Permit Total Fees:
Invoice Amount
$35.00
$100.00
$135.00
Fee Amount
$85.00
$15.00
$100.00
Amount Paid
$0.00
$0.00
$0.00
Amount Owing
$35.00
$100.00
$135.00
Page 2 of 2
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