2002, 06-03 Permit App: 02004307 Sewer, Plumbing Reversal, Fixtures Project Number: 02004307 Inv: 1. Application Date: 6/3/02 Page 1 of 2
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THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: R-INBATH/PLBG REVERSAL/SEWER Contact: NORM'S EXCAVATING
CONNECTION/SKYVIEW 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: 002392 Name: SKYVIEW ACRES ADD District: F
Parcel Number: 45284.1519 Block: Lot:
SiteAddress: 2823 S WILBUR RD Owner:Name: ARCHER,EVAN CAL
SPOKANE,WA USA 99206 Address: 2823 S WILBUR RD
Location::SPO SPOKANE,WA 99206-5909
Zoning: UNKN Unknown
Water District: Hold: ❑
Area: 12,707 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Road Obstruction Released By: j 6 elio
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
TOILETS/BIDETS I NUMBER OF $6.00
SINKS 1 NUMBER OF $6.00
WATER PIPING-DWV 1 NUMBER OF $6.00
PROCESSING FEE 1 Y OR BLANK $25.00
Permit Total Fees: $43.00
Operator: JAS Printed By: JAS Print Date: 6/3/02
Project Number: 02004307 Inv: 1 Application Date: 6/3/02 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 $43.00 $43.00 $0.00 $43.00
Sewer Connection Permit $100.00 $100.00 $0.00 $100.00
$143.00 $143.00 $0.00 $143.00
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: JAS Printed By: JAS Print Date: 6/3/02