2001, 07-27 Permit App: 01006201 Sewer J
Project Number: 01006201 Inv: 1 f ,Application Date: 7/27/01 Page 1 of 1
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
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Permit Use: SEWER CONNECTION-TOWNER Contact: BEN PETERSON CONSTRUCTION
Address: 11516 E 6TH AVE
C-S-Z: SPOKANE,WA 99206
Setbacks:Front Left: Right: Rear: Phone: (509)990-5167
Group Name:
Site Information: Project Name:
Plat Key: 002565 Name: SULLIVAN WAY District: F
Parcel Number: 45234.3610 Block: Lot:
SiteAddress: 15421 E 14TH AVE Owner:Name: BLOUIN,BETTY L
VERADALE,WA USA 99037 Address: 15421 E 14TH AVE
Location::VER VERADALE,WA 99037-9767
Zoning: UNKN Unknown
Water District: Hold: ❑
Area: 11,813 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: -am�
Department Review
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Sewer Permit
Contractor: UNKNOWN Firm: UNKNOWN
Address: UNKNOWN Phone: (000)000-0000
UNKNOWN,WA UNKNOWN
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: b•„ a . � � .� : . ,..n. � u �._ . ,,;. ... "0",,.r n •. ,.,. . �
Operator: JAS Printed By: JAS Print Date: 7/27/01
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Sewer Permit $100.00 $100.00 $0.00 $100.00
$100.00 $100.00 $0.00 $100.00
Notes: _ . r ..F.M.o, a ,_„ . .<aF �.:. m W: � - aA� �s. ems
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CRUMCC DEPARTMENT OF LABOR AND INDUSTRIES CRIS
ID: 01 prod
CONSTRUCTION CONTRACTOR INFORMATION
?OPTION (ADD,CHG,REN,REP,PRT,CRL or Screen ID)
?LICENSE NUMBER: BENPEC*022L9 ?Status: A ACTIVE
?Contractor Type: CC CONST CONT
Contractor Name: BEN PETERSON CONSTRUCTION UBI: 601885434
Parent Company :
Search Name : BEN PETERSON CO
Address Line 1 : 11516 E 6TH
Address Line 2 :
City,State,Zip : SPOKANE WA 99206
Telephone 5099271072 County: 32 SPOKANE
?Reg Reason Code:
Effective Date : 062998 ?Business Type: I INDIVIDUAL
Expiration Date: 062502 ?Specialty Code 1: 01 GENERAL
Suspended Date : 000000 ?Specialty Code 2: 00 UNUSED
Audit Until Date: 000000
Nbr of Type Chg: 0 Employees: (Y/N)
Fee Received Dt: 000000 LINIIS ID:
F1=Hlp F2=USH F3=End F4=Adr FS=Pry F6=Nxt
Const Contractor Renewed Successfully
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