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2002, 09-23 Permit App: 02008228 Sewer, Plumbing Reversal, Fixtures Project Number: 02008228 Inv: 1 Application Date: 9/23/02 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for Commencing work without a permit Project Information: Permit Use: R-IN BATH/REVERSAL/SEWER Contact: Z BEST CONSTRUCTION CONNECT/MISSION Address: P.O.BOX 13421 C-S-Z: SPOKANE WA 99213 Setbacks:Front Left: Right: Rear: Phone: (509)891-9949 Group Name: Site Information: Project Name: Plat Key: 001854 Name: OPPORTUNITY PLAT 3 District: E Parcel Number: 45171.0607 Block: Lot: SiteAddress: 1424 N WOODRUFF RD Owner: Name: O'DELL,PHYLLIS J SPOKANE,WA 99206 Address: 1424 N WOODRUFF RD Location::SPO SPOKANE,WA 99206 Zoning: AGSUB Water District: Hold: ❑ Area: 15,000 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Road Obstruction Released By: r �3 D 9t.$L763d1 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 1 NUMBER OF $6.00 SHOWERS 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: 9/23/02 Project Number: 02008228 Inv: / Application Date: 9/23/02 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Sewer Connection Permit Contractor: Z BEST CONSTRUCTION Firm: Z BEST CONSTRUCTION Address: P 0 BOX 13241 AVE Phone: (509) 891-9949 SPOKANE,WA 99213-3241 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 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: JAS Printed By: JAS Print Date: 9/23/02