2002, 07-16 Permit App: 02005967 Sewer, Plumbing ReversalProject Number: 02005967 Inv: 1
Application
THIS IS NOT A PERMIT
Date: 7/16/02 Page 1 of 2
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION - MISSION / PLUMBING 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: 001648 Name: MISSION ADD District: E
Parcel Number: 45172.0605 Block:
SiteAddress: 1303 N WOODRUFF RD
SPOKANE, WA 99206
Location:: SPO
Zoning: AGSUB
Water District:
Lot:
Owner: Name: PORTER, CHUCK
Address: 1303 N WOODRUFF R1)
SPOKANE, WA 99206
Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 40
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: Rte,<a
Review
Road Obstruction
Permits:
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Released By:
Plumbing Permit
Contractor: BELKNAP PLUMBING Firm: BELKNAP PLUMBING
Address: 3414 S ADAMS RD Phone: (509) 921-5913
VERADALE, WA 99037
Item Description
WATER PIPING - DWV
PROCESSING FEE
MINIMUM FEE ADJUSTMENT
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
1 Select
Operator: CKF Printed By: CKF
I'erinit Total Fees:
Fee Amount
$6.00
$25.00
$4.00
$35.00
Print Date: 7/16/02
Project Number: 02005967 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/16/02 Page 2 of 2
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
SEWER CONNECTION
PROCESSING FEE
Payment Summar':
Permit Type
Plumbing Permit
Sewer Connection Permit
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
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: CKF Printed By: CKF
Print Date: 7/16/02