2001, 06-12 Permit App: 01004544 Sewer, Plumbing Reversal Project Number: 01004544 In 1 Application Date: 6/12/01 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will le assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTIO -APPLE VALLEY& Contact: ALLIED SEWER&BORING
PLUMBING REVERS L Address: 9317 S FREEMAN DR
C- S-Z: MEDICAL LAKE,WA 99022
Setbacks:Front Left: Right: Rear: Phone: (509)924-8508
Group Name:
Site Information:
Project Name:
Plat Key: 999999 Name: ' • GE District: F
Parcel Number: 45213.9202 Block: Lot:
SiteAddress: 11315 E 11TAVE Owner:Name: TESSRESM CHRIS
SPOKANE, ' A 99206 Address: 11315 E 11TH AVE
Location::SPO SPOKANE,WA 99206
Zoning: UR-3.5 rban Residential 3.5
Water District: Hold: ❑
Area: 0 Sq Ft Width: 100 Depth: 125 Right Of Way(ft): 50
Nbr of Bldgs: 1 .r of Dwellings: 1
Review Information: �;
Department Revie
ENGINEER Road I bstruction
Released By: _ � � .. a„—C?}
Hold Reasons: i
Permit Conditions: t)-S ,c) agy-
Permits:
Plumbing Permit
Contractor: BESTWAY PLUMB NG Firm: BESTWAY PLUMBING
Address: 18416 E ALKI AVE Phone: (509)922-1541
GREENACRES,WA 99016
Item Description Units Unit Desc Fee Amount
WATER PIPING-DWV 1 NUMBER OF $6.00
PROCESSING FEE 1 Y OR BLANK $25.00
MINIMUM FEE ADJUSTMEN 1 Select $4.00
Permit Total Fees: $35.00
Project Number: 01004544 Inv: 1 Application Date: 6/12/01 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Sewer Permit
Contractor: ALLIED SEWER BORING Firm: ALLIED SEWER BORING COMPA.
Address: 9317 S FREEMAN DR Phone: (509)924-8508
MEDICAL LAKE,WA 99022
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
Payment Summary:
Operator: RMB Printed By: RMB Print Date: 6/12/01
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Plumbing Permit $35.00 $35.00 $0.00 $35.00
Sewer Permit $100.00 $100.00 $0.00 $100.00
$135.00 $135.00 $0.00 $135.00
Notes: ro,.