2002, 01-07 Permit App: 02000088 Sewer, Plumbing ReversalProject Number: 02000088 Inv: 1
Application
THIS IS NOT A PERMIT
Date: 1/7/2002 Page 1 of 2
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: SEWER CONNECTION - EASTON 2 & Contact: H & S CONSTRUCTION
PLUMBING REVERSAL Address: 11817 E. VALLEYWAY AVE
C - S - Z: SPOKANE WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509) 926-8964
Group Name:
Project Name:
Site Information:
Plat Key: 001834 Name: OPP.TR. 1-354 District: F
Parcel Number: 45163.0304
Block: 129
SiteAddress: 11404 E VALLEY WAY
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: 17,500 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Lot: 0
Owner: Name:
Address:
BLOUNT, W A
11404 E VALLEYWAY AVE
SPOKANE, WA 99206-7226
Hold:
Depth: 0 Right Of Way (ft): 0
Review
Road Obstruction
Permits:
Contractor: JACKSON PLUMBING
Address: P.O. BOX 7272
SPOKANE, WA 99207
Item Description
WATER PIPING - DWV
PROCESSING FEE
MINIMUM FEE ADJUSTMENT
Plumbing Permit
Firm: RANDY JACKSON PLUMBING
Phone: (509) 926-7101
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
1/7/2002
Project Number: 02000088 Inv: 1
Application Date: 1/7/2002 Page 2 of 2
•
THIS IS NOTA PERMIT
Penalties will be assessed for commencing work without a permit
Sewer Connection Permit
Contractor: H & S CONSTRUCTION Firm: H & S CONSTRUCTION
Address: 11817 E VALLEYWAY AVE
SPOKANE, WA 99206
Item Description
SEWER CONNECTION
PROCESSING FEE
Notes: ;..
Permit Type
Plumbing Permit $35.00 $35.00
Sewer Connection Permit $100.00 $100.00 $0.00 $100.00
Phone: (509) 926-8964
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Fee Amount
$85.00
$15.00
Permit Total Fees: $100.00
Fee Amount Invoice Amount Amount Paid Amount Owing
$0.00 $35.00
$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: RMB Printed By: RMB
Print Date: 1/7/2002