2001, 11-29 Permit App: 01010506 Sewer, Plumbing Reversal Project Number: 01010506 Inv: 1 Application Date: 11/29/01 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: PLUMBING REVERSAL/SEWER Contact: ALLIED SEWER&BORING
CONNECT/SKYVIEW Address: 9317 S FREEMAN DR
C-S-Z: MEDICAL LAKE,WA 99022
Setbacks: Front Left: Right: Rear: Phone: (509)924-8508
Group Name:
Project Name:
Site Information:
Plat Key: 002392 Name: SKYVIEW ACRES ADD District: F
Parcel Number: 45284.1626 Block: Lot:
SiteAddress: 12025 E 31ST AVE Owner:Name: BRYANT,RICHARD W&MARY J
SPOKANE,WA USA 00000 Address: 12025 E 31ST AVE
Location::SPO SPOKANE,WA 99206-5905
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 13,408 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: , .4--voe. r r artmaAr at A. ... ..r ... =..,E
Review
Road Obstruction
Released By: 1/". 111"-e,1
Permits: ..,a -g. atft 48;0.;;;, h k .
Plumbing Permit
Contractor: BESTWAY PLUMBING 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 ADJUSTMENT 1 Select $4.00
Permit Total Fees: $35.00
Operator: JAS Printed By: JAS Print Date: 11/29/01
Project Number: 01010506 Inv: 1 Applicgion Date: 11/29/01 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Sewer Connection 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: ,m .N: . .--wm,, tira .
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Plumbing Permit $35.00 $35.00 $0.00 $35.00
Sewer Connection Permit $100.00 $100.00 $0.00 $100.00
$135.00 $135.00 $0.00 $135.00
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: JAS Printed By: JAS Print Date: 11/29/01