2002, 04-08 Permit App: 02002329 Plumbing Reversal, SewerProject Number: 02002329 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/8/02 Page 1 of 2
Project Information:
Permit Use: PLBG REVERSAL/SEWER CONNECT/ARGONNE Contact: COURCHAINE EXCAVATION
Address: 19818 E SPRAGUE
C - S - Z: GREEENACRES, WA 99016
Setbacks: Front Left: Right: Rear: Phone: (509) 924-5485
Group Name:
Project Name:
Site Information:
Plat Key: 002357 Name: SHANNON ACRES SUB
Parcel Number: 45083.0139 Block: Lot:
SiteAddress: 2015 N WOODRUFF RD
SPOKANE, WA 99206
Location:: SPO
Zoning: UNKN Unknown
Water District:
District: I i
Owner: Name: MOYLE, FLORENCE
Address: 2015 N WOODRUFF RD
SPOKANE, WA 99206
Hold: ❑
Area: 0 Sq Ft Width: 60 Depth: 153 Right Of Way (ft): 40
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction
Oa\s I p \°I3
Permits:
Released By: (if -04'n l g 1 O
Plumbing Permit
Contractor: COURCHAINE CONSTRUCTION Firm: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE AVE Phone: (509) 928-0846
GREENACRES, WA 99016
Item Description Units Unit Desc Fee Amount
WATER PIPING - DWV 1 NUMBER OF 56.00
PROCESSING FEE 1 Y OR BLANK $25.00
MINIMUM FEE ADJUSTMENT 1 Select $4.00
Operator: JAS Printed By: JAS
Permit Total Fees: $35.00
Print Date: 4/8/02
Project Number: 02002329 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/8/02 Page 2 of 2
Sewer Connection Permit
Contractor: COURCHAINE CONSTRUCTION Firm: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE AVE Phone: (509) 928-0846
GREENACRES, WA 99016
Item Description
SEWER CONNECTION
PROCESSING FEE
Notes:
Payment Summary:m:
Permit Type
Plumbing Permit
Sewer Connection Permit
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Fee Amount
$35.00
$100.00
Permit Total Fees:
Invoice Amount
$35.00
$100.00
$135.00 $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
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: 4/8/02