2002, 07-30 Permit Application: 02006425 Sewer ConnectProject Number: 02006425 Inv: 1 Application Date: 7/30/02 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION - EASTON
Setbacks: Front
Contact: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE
C - S - Z: GREENACRES, WA 99016
Left: Right: Rear: Phone: (509) 924 -5485
Group Name:
Project Name:
Site Information:
Plat Key: 000699 Name: EASTON SUB
District: F
Parcel Number: 45163.0245 Block: 1
Lot: 1
SiteAddress: 11218 E ALKI AVE Owner: Name: MOHNEY, WILLIS
SPOKANE, WA USA 00000 Address: PO BOX 168
Location:: SPO DAVENPORT, WA 99122 -0168
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: 9,850 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Road Obstruction
Permits:
Released By:
b2 S1 D taz
ION
Sewer Connection Permit
Contractor: COURCHAINE CONSTRUCTION Firm: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE AVE Phone: (509) 928 -0846
GREENACRES, WA 99016
Item Description
SEWER CONNECTION
PROCESSING FEE
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Operator: CKF Printed By: CKF
Fee Amount
$85.00
$15.00
Permit Total Fees: $100.00
Print Date: 7/30/02
Project Number: 02006425 Inv: 1
Application •
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/30/02 Page 2 of 2
Notes:
Payment Summarv:
Permit Type
Sewer Connection Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$100.00 $100.00 $0.00 $100.00
$100.00 $100.00 $0.00 $100.00
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: CKF Printed By: CKF
Print Date: 7/30/02