2002, 07-15 Permit App: 02005846 Sewer, Plumbing ReversalProject Number: 02005846 Inv: 1
1
4 Application
Date: 7/15/02
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION - EMPIRE HEIGHTS /
PLUMBING REVERSAL
Setbacks: Front Left:
Right: Rear:
Site Information:
Plat Key: 000735 Name: EMPIRE HEIGHTS ADD
Parcel Number: 35241.3508 Block: Lot:
Contact: NORM'S EXCAVATING
Address: P.O. BOX 574
C - S - Z: VERADALE, WA 99037
Phone: (509) 928-0580
Group Name:
Project Name:
SiteAddress: 7106 E 5TH AVE
SPOKANE, WA USA 99212
Location:: SPO
Zoning: UR -7
Water District:
Area: 7,620 Sq Ft
Nbr of Bldgs: 0
Review Information:
Review
Road Obstruction
Permits:
Urban Residential -7
Width: 0
Nbr of Dwellings: 0
a2.ScC,5 69
Contractor: BELKNAP PLUMBING
Address: 3414 S. ADAMS RD
VERADALE, WA 99037
Item Description
WATER PIPING - DWV
PROCESSING FEE
MINIMUM FEE ADJUSTMENT
District: D
Owner: Name: WING, JANET P
Address: 7106 E 5TH AVE
SPOKANE, WA 99212-0508
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Released By:
Plumbing Permit
Firm: BELKNAP PLUMBING
Phone: (509) 921-5913
Units Unit Desc
1 NUMBER OF
I Y OR BLANK
1 Select
Operator: CKF Printed By: CKF
Permit Total Fees:
Print Date:
Fee Amount
$6.00
$25.00
$4.00
$35.00
7/15/02
Page 1 of 2
Project Number: 0200.5846 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/15/02
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
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
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
Page 2 of 2
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:
7/15/02