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2002, 07-15 Permit App: 02005867 SewerAff Project Number: 02005867 Inv: 1 Application JI Date: 7/15/02 Page 1 of 2 THIS IS NOT A fr1VIIT Penalties will be assessed for comm work ' g without a permit Proiect Information: Permit Use: SEWER CONNECTION - SKYVIEW / TOILET, Contact: Z -BEST CONSTRUCTION ... SINK, REVERSAL Address: PO BOX 13421 C - S - Z: SPOKANE, WA. 99213 Setbacks: Front Left: Right: Rear: Phone: (509) 891-9949 Group Name: ,Site Information • Project Name: Plat Key: 002392 Name: SKYVIEW ACRES ADD District: F ------------ Parcel Number: -452-84.080-5---- Block: 8 Lot: 5 - _ — - - -- -- SiteAddress: 11818E 26TH AVE Owner: Name: NORDHUS, RYAN M SPOKANE, WA USA 00000 Address: 11818 E 26TH AVE Location:: SPO SPOKANE, WA 99206-5793 Zoning: UR -3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information Review 12 Road Obstruction Released By: -7— C# Permits: Plumbing Permit Contractor: BELKNAP PLUMBING Firm: BELKNAP PLUMBING Address: 3414 S. ADAMS RD Phone: (509) 921-5913 VERADALE, WA 99037 Item Description TOILETSBIDETS SINKS WATER PIPING - DWV PROCESSING FEE Units Unit Desc 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 Y OR BLANK Permit Total Fees: Fee Amount $6.00 $6.00 $6.00 $25.00 $43.00 Operator: CKF Printed By: CKF Print Date: 7/15/02 Project Number: 02005867 Inv: 1 Application Date: 7/15/02 THIS�S,NOT A PERMIT Penalties will be assessed for commencing work without a permit Sewer Connection Permit Contractor: Z BEST CONSTRUCTION Firm: Z BEST CONSTRUCTION Address: P O BOX 13241 AVE Phone: (509) 891-9949 SPOKANE, WA 99213-3241 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: Parment Sunimai b. Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Plumbing Permit $43.00 $43.00 $0.00 $43.00 Sewer Connection Permit $100.00 $100.00 $0.00 $100.00 $143.00 $143.00 $0.00 $143.00 Page 2 of 2 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: 7/15/02