2002, 02-20 Permit App: 02001009 Sewer, Plumbing Reversal Project Number: 02001009 Inv: 1 Application Date: 2/20/2002 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-VALLEY VISTA,PL Contact: NORM'S EXCAVATING
REVERSAL Address: P.O. BOX 574
C -S -Z: VERADALE,WA 99037
Setbacks: Front Left: Right: Rear: Phone: (509)928-0580
Group Name:
Site Information: Project Name:
Plat Key: 000000 Name: UNKNOWN District: E
Parcel Number: 45174.2703 Block: Lot:
SiteAddress: 223 N WALNUT RD Owner: Name: CARR, LINDA
SPOKANE,WA 99206 Address: 223 N WALNUT RD
Location:: SPO SPOKANE,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 43,000 Sq Ft Width: 142 Depth: 302 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Road Obstruction Released By: ..0.2.0" 0 3.•
IDA Scae �1
Permits:
Plumbing Permit
Contractor: BELKNAP PLUMBING Firm: BELKNAP PLUMBING
Address: 3414 S. ADAMS RD Phone: (509)921-5913
VERADALE,WA 99037
Item Description Units Unit Desc Fee Amount
WATER PIPING-DWV 1 NUMBER OF $6.00
PROCESSING FEE I Y OR BLANK $25.00
MINIMUM FEE ADJUSTMENT 1 Select $4.00
Permit Total Fees: $35.00
Operator: DMD Printed By: DMD Print Date: 2/20/2002
1
Project Number: 02001009 Inv: 1 Application Date: 2/20/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Sewer Connection Permit
Contractor: NORM'S EXCAVATING Firm: NORM'S BOBCAT SERVICE
Address: PO BOX 574 Phone: (509) 928-0580
VERADALE,WA 99037
Item Description Units Unit Desc Fee Amount
SEWER CONNECTION 1 NUMBER OF $85.00
PROCESSING FEE 1 Y OR BLANK $15.00
Permit Total Fees: $100.00
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Plumbing Permit $35.00 $35.00 $0.00 $35.00
Sewer Connection Permit $100.00 $100.00 $0.00 $100.00
$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 he 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: DMD Printed By: DMD Print Date: 2/20/2002