2002, 05-21 Permit Application: 02003915 Sewer ConnectProject Number: 02003915 Inv: 1 , Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/21/02 Page 1 of 2
Project Information:
Permit Use: SEWER CONNECTION - EASTON Contact: RIPATTI EXCAVATING INC
Address: 25750 N CLAGSTONE
C - S - Z: ATHOL, ID 83801
Setbacks: Front Left: Right: Rear: Phone: (208) 683 -0550
Group Name:
Site Information: Project Name:
m=3 erg:,._ o_ .:,
Plat Key: 001838 Name: OPP.TR. 1 -354
Parcel Number: 45163.0272 Block:
SiteAddress: 11304 E ALKI AVE
SPOKANE, WA 99206
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Lot:
Owner: Name: HARDER, DIANE
Address: 11304 E ALKI AVE
SPOKANE, WA 99206
Hold: ❑
District: F
Area: 0 Sq Ft Width: 80 Depth: 290 Right Of Way (ft): 50
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction
Permits:
to St-s
Released By:
Sewer Connection Permit
Contractor: RIPATTI EXCAVATING Firm: RIPATTI EXCAVATING
Address: 25750 N CLAGSTONE Phone: (208) 683 -0550
ATHOL, ID 83801
Item Description Units Unit Desc Fee Amount
SEWER CONNECTION 1 NUMBER OF $85.00
PROCESSING FEE 1 Y OR BLANK $15.00
Operator: CKF Printed By: CKF
Permit Total Fees: $100.00
Print Date: 5/21/02
-D121102-
Project Number: 02003915 Inv: 1
Application
THIS IS NOT A PEA MIT,
Penalties will be assessed for commencing work without a permit
Date: 5/21/02 Page 2 of 2
Notes:
Payment Summary:
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: 5/21/02