2001, 11-05 Permit App: 01009823 Sewer, Plumbing Reversal Project Number: 01009823 Inv: I Application Date: 11/5/01 Page 1 of 2
THIS I NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information: . m .
Permit Use: SEWER CONNECTION-CHESTERFIELD/ Contact: COURCHAINE CONSTRUCTION
PLUMBING REVERSAL Address: 19818 E SPRAGUE
C-S-Z: GREENACRES,WA 99216
Setbacks:Front Left: Right: Rear: Phone: (509)924-5485
Group Name:
Project Name:
Site Information
Plat Key: 003342 Name: VIGUE'S ADD District: F
Parcel Number: 45332.3301 Block: Lot:
SiteAddress: 3805 S WOODWARD RD Owner:Name: FEIL,KATHY
SPOKANE,WA 99206 Address: 3805 S WOODWARD RD
Location::SPO SPOKANE,WA 99206
Zoning: SFR
Water District: Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: : 124,t..; ,-� R. :m. ry ,.._. .. �_.m.tam,
Review
Road Obstruction LReleased By: ) I - ...Q l I
-tit J 76,
Permits: .-_ Pw max..; .. .:w F .E -... •-: ... . s... x ::._ :
Plumbing Permit
Contractor: BESTWAY PLUMBING Firm: BESTWAY PLUMBING
Address: 18416 E ALKI AVE Phone: (509)922-1541
GREENACRES,WA 99016
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
Operator: CKF Printed By: CKF Print Date: 11/5/01
Project Number: 01009823 Inv: 1 Application Date: 11/5/01 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Sewer Connection 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
SEWER CONNECTION 1 NUMBER OF $85.00
PROCESSING FEE 1 Y OR BLANK $15.00
Permit Total Fees: $100.00
Notes: _ ;; ,_.. . ,n _44"- 4,144..., .:- a ,.. , ... 1a, ,M_ ,x a 4. .r
Payment Summary:
. rsaa `�'S�%+.,-.- : ". "`.,,,.rez�`a+� �m' try ar- 4444..;" 41r4"
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Plumbing Permit $35.00 $35.00 $0.00 $35.00
Sewer Connection Permit $100.00 $100.00 $0.00 $100.00
$135.00 $135.00 $0.00 $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: 11/5/01