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2007, 10-30 Permit App 07004343 3 SinksProject Number: 07004343 Inv: I Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: 3 SINKS Setbacks: Front Left: Right: Rear. Site Information: Plat Key: 001743 Name: MYRON 08TH (FEES) Contact: GOLD SEAL MECHANICAL Address: 5524 E BOONE AVE C - S - Z: SPOKANE WA 99212 Phone: (509) 535-5944 Group Name: Project Name: District: Sout Parcel Number: 44042.1912 SiteAddress: 11217 E FERRET DR Block: Lot: Date: 10/30/2007 Page 1 of 2 Owner: Name: NELSON, DALE Address: 11217 E FERRET DR Location:: CSV SPOKANE VALLEY, WA 99206-94 Zoning: UR-3.5 Urban Residential 3.5 Water District: 101 SPO CO WATER DIST#3B Hold: ❑ Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Review Plan Review Permits: Plumbing Permit Contractor: GOLD SEAL MECHANICAL INC Firm: GOLD SEAL MECHANICAL INC Address: 5524 E BOONE AVE Phone: (509) 535-5944 SPOKANE, WA 99212 Item Description SINKS PROCESSING FEE Units Unit Desc 3 NUMBER OF 1 SELECT Fee Amount $18.00 $35.00 Permit Total Fees: $53.00 Operator: JD Printed By: JD Print Date: 10/30/2007 Project Number: 07004343 Inv: 1 Application Date: 10/30/2007 Page 2 of 2 Notes: THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary: Permit Type Plumbing Permit Fee Amount Invoice Amount Amount Paid Amount Owing $53.00 $53.00 $53.00 $53.00 $0.00 $53.00 $0.00 $53.00 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 construed 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: JD Printed By: JD Print Date: 10/30/2007