2001, 05-16 Permit App: 01003662 Sewer, Plumbing Reversal Project Number: 01003662 Inv: 1 Application Date: 5/16/01 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-WELLESLEY MANOR& Contact: WALDORF CONSTRUCTION
PL REV Address: PO BOX 840
C-S-Z: NEWMAN LAKE,WA 99025
Setbacks:Front Left: Right: Rear: Phone: (509)226-2055
Group Name:
Site Information: Project Name:
Plat Key: 002849 Name: WELLESLEY MANOR 3RD ADD District: H
Parcel Number: 46363.0118 Block: Lot:
SiteAddress: 16025 E WELLESLEY AVE Owner:Name: HELMS,DOUG
SPOKANE,WA 99216 Address: 16025 E WELLESLEY AVE
Location::SPO SPOKANE,WA 99216
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 0 Sq Ft Width: 96 Depth: 128 Right Of Way(ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: •1
Review In formation: . ,�. �A� •�. - 4. ._ . _a.._.
Department Review r:
ENGINEER Road Obstruction Released By. � � �
Hold Reasons:
Permit Conditions:
✓
Plumbing Permit
Contractor: WALDORF CONSTRUCTION Firm: RICHARD WALDORF/WALDORF
Address: PO BOX 840 Phone: (509)226-0880
NEWMAN LAKE,WA 99025
Item Description Units Unit Desc Fee Amount
WATER PIPING-DWV 1 NUMBER OF $6.00
PROCESSING FEE 1 Y OR BLANK $25.00
MINIMUM FEE ADJUSTMENT 1 Select $4.00
Permit Total Fees: $35.00
Project Number: 01003662 Inv: I Application Date: 5/16/01 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Sewer Permit
Contractor: WALDORF CONSTRUCTION Firm: RICHARD WALDORF/WALDORF
Address: PO BOX 840 Phone: (509)226-0880
NEWMAN LAKE,WA 99025
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
Operator: MKC Printed By: MKC Print Date: 5/16/01
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Plumbing Permit $35.00 $35.00 $0.00 $35.00
Sewer Permit $100.00 $100.00 $0.00 $100.00
$135.00 $135.00 $0.00 $135.00
Notes: