2002, 04-01 Permit App: 02002090 Sewer, Plumbing Fixtures Project Number: 02002090 Inv: 1 Application Date: 4/1/2002 Page 1 of 2
TRIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION-EMPIRE HEIGHTS &4 Contact: H & S CONSTRUCTION
PLUMBING FIXTURES Address: 11817 E.VALLEYWAY AVE
C - S -Z: SPOKANE WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509)926-8964
Group Name:
Site Information: Project Name:
Plat Key: 000735 Name: EMPIRE HEIGHTS ADD District: D
Parcel Number: 35241.3510 Block: Lot:
SiteAddress: 7109 E 6TH AVE Owner: Name: CULVER III,HOWARD W & BRE
SPOKANE,WA USA 00000 Address: 7109 E 6TH AVE
Location:: SPO SPOKANE,WA 99212-0513
Zoning: UR-7 Urban Residential-7
Water District: Hold: ❑
Area: 11,430 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Road ObstructionReleased By: "� '
r s
o a S KKTGr
Permits:
Plumbing Permit
Contractor: H & S CONSTRUCTION Firm: H & S CONSTRUCTION
Address: 11817 E VALLEYWAY AVE Phone: (509) 926-8964
SPOKANE,WA 99206
it
' -3
Item Description Units Unit Desc Fee Amount C l 1617P'/�
/
TOILETS/BIDETS 1 NUMBER OF $6.00
SINKS 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: $49.00
Operator: RMB Printed By: RMB Print Date: 4/1/2002
•
Project Number: 02002090 Inv: 1 Application Date: 4/1/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Sewer Connection Permit
Contractor: H & S CONSTRUCTION Firm: H &S CONSTRUCTION
Address: 11817 E VALLEYWAY AVE Phone: (509)926-8964
SPOKANE,WA 99206
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 $49.00 $49.00 $0.00 $49.00
Sewer Connection Permit $100.00 $100.00 $0.00 $100.00
$149.00 $149.00 $0.00 $149.00
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: RMB Printed By: RMB Print Date: 4/1/2002