2002, 08-02 Permit App: 02006593 Sewer, Plumbing ReversalProject Number: 02006593 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/2/02 Page 1 of 2
Project Information:
Permit Use: SEWER CONNECTION - WALNUT / PLUMBING Contact: INLAND EXCAVATING & CONSTRUCTI
REVERSAL Address: 3417 W OLSON RD
C - S - Z: DEER PARK, WA 99006
Setbacks: Front Left: Right: Rear: Phone: (509) 276-8500
Group Name:
Site Information: Project Name:
Plat Key: 001835 Name: OPP.TR. 1-354 District: F
Parcel Number: 45173.0411 Block: Lot:
SiteAddress: 624 N WILLOW RD Owner: Name: BLOWERS, RAYMOND H
SPOKANE, WA 99206 Address: 624 N WILLOW RD
Location:: SPO SPOKANE, WA 99206
Zoning: TFR
Water District:
Hold: ❑
Area: 0 Sq Ft Width: 180 Depth: 310 Right Of Way (ft): 40
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction
Permits:
VMK444,
Contractor: KEN CARTER
Address: 916 S UNIVERSITY RD
SPOKANE, WA 99206
Item Description
WATER PIPING - DWV
PROCESSING FEE
MINIMUM FEE ADJUSTMENT
Released By:
Plumbing Permit
Firm: KENNETH J. CARTER
Phone: (509) 216-6539
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
1 Select
Operator: CKF Printed By: CKF
Permit Total Fees:
Fee Amount
$6.00
$25.00
$4.00
$35.00
Print Date: 8/2/02
S
Project Number: 02006593
Contractor:
Address:
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/2/02
Sewer Connection Permit
INLAND EXCAVATING & CONST
3417 W OLSON RD
DEER PARK, WA 99006
Item Description
SEWER CONNECTION
PROCESSING FEE
Notes:
Payment Summary: _
Permit Type
Plumbing Permit
Sewer Connection Permit
Firm: INLAND EXCAVATING & CONST
Phone: (509) 276-8500
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 construed 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: 8/2/02