2002, 07-15 Permit App: 02005847 Sewer, Plumbing ReversalProject Number: 02005847 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/15/02 Page 1 of 2
Project Information:
Permit Use: SEWER CONNECTION - EMPIRE HEIGHTS / Contact: NORM'S EXCAVATING
PLUMBING REVERSAL Address: P.O. BOX 574
C - S - Z: VERADALE, WA 99037
Setbacks: Front Left: Right: Rear: Phone: (509) 928-0580
Group Name:
Project Name:
Site Information:
Plat Key: 000735 Name: EMPIRE HEIGHTS ADD
Parcel Number: 35241.3313 Block: Lot:
SiteAddress: 7315 E 5TH AVE
SPOKANE, NN, A 99212
Location:: SPO
Zoning: UR -7 Urban Residential -7
Water District:
Owner: Name: REVINE, EDNA
Address: 7315 E 51H AV E
SPOKANE, WA 99212
Hold: ❑
District: F
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction
02 SC CSi n
Permits:
Released By:
Plumbing Permit
Contractor: BELKNAP PLUMBIN(, 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
Permit Total Fees:
Fee Amount
$6.00
$25.00
$4.00
$35.00
Print Date: 7/15/02
Project Number: 02005847 Inv: 1
Application
Date: 7/15/02 Page 2 of 2
THIS IS NOTA PERMIT
Penalties will be assessed for commencing work without a permit
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: , v
Payment Summary:
Permit Type
Plumbing Permit
Sewer Connection Permit
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Permit Total Fees:
Fee Amount Invoice Amount
$35.00 $35.00
$100.00 $100.00
$135.00 $135.00
Fee Amount
$85.00
$15.00
Amount Paid
$0.00
$0.00
$0.00
$100.00
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: 711 5/02