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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,.