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HomeMy WebLinkAbout2002, 07-23 Permit App: 02006208 Sewer, Plumbing ReversalProject Number: 02006208 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 7/23/02 Page 1 of 2 Project Information: Permit Use: SEWER CONNECTION - EMPIRE HEIGHTS / Contact: ACME EXCAVATING PLUMBING REVERSAL Address: 3021 N LILY RD C - S - Z: SPOKANE, WA 99212 Setbacks: Front Left: Right: Rear: Phone: (509) 228-0691 Group Name: Project Name: Site Information: Plat Key: 000735 Name: EMPIRE HEIGHTS ADD District: E Parcel Number: 35241.2724 Block: Lot: SiteAddress: 6818 E 5TH AVE SPOKANE, WA 99212 Location:: SPO Zoning: RMH Water District: Area: 0 Sq Ft Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: E ,,,. Review Road Obstruction Permits: Contractor: KEN CARTER Address: 916 S UNIVERSITY RD SPOKANE, WA 99206 Owner: Name: KOCH, DAN Address: 6818 E 5TH AVE SPOKANE, WA 99212 Hold: ❑ Depth: 0 Right Of Way (ft): 60 Released By: Plumbing Permit Firm: KENNETH J. CARTER Phone: (509) 216-6539 Item Description Units Unit Desc Fee Amount WATER PIPING - DWV 1 NUMBER OF $6.00 PROCESSING FEE l Y OR BLANK $25.00 MINIMUM FEE ADJUSTMENT 1 Select $4.00 Operator: CKF Printed By: CKF Permit Total Fees: $35.00 Print Date: 7/23/02 7.2,3 Project Number: 02006208 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 7/23/02 Page 2 of 2 Sewer Connection Permit Contractor: ACME EXCAVATING Firm: MAKE ORRINO/ACME EXCAVAT Address: 721 N LILY RD Phone: (509) 228-0691 SPOKANE, WA 99212 Item Description SEWER CONNECTION PROCESSING FEE Notes: Payment Summary: 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: 7/23/02