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HomeMy WebLinkAbout2002, 08-26 Permit App: 02007322 SewerProject Number: 02007322 Inv. 1 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: a Permit Use: SEWER CONNECTION - SKYVIEW Contact: SHORT SEPTIC SERVICE INC Address: 3350 WILLIAMS RD E C - S - Z: ALMIRA WA 99103 Setbacks: Front Left. Right Rear: Phone: (509) 639-2393 Group Name: Site Information? Project Name: Plat Key: 002392 Name- SKYVIEW ACRES ADD District: F Date: 8/26/02 Page 1 of 2 Parcel Number: 45284.1415 Block: Lor SiteAddress: 3011 S BATES RD SPOKANE, WA 99206 Location.: SPO Zoning: AGSUB Water District. Owner: Name: ALBERTSON, JOHN Address: 3011 S BATES RD SPOKANE, WA 99206 Hold: ❑ Area: 0 Sy Ft Width' 90 Depth: 150 Right Of Way (ft). 0 Nbr of Bldgs: 0 Nbr of Dwellings. 1 Review Information: - Review Road Obstruction Released I3y: 07-3-0-12o Permits: , . Sewer Connection Permit Contractor- SHORT SEPTIC SERVICE INC Finn: SHORT SEPTIC SERVICE INC Address: 3350 WILLIAMS RD E ALMIRA WA 99103 Item Description SEWER CONNECTION PROCESSING FEE Phone: (509) 639-2393 Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Operator. CKE Printed By. CKF Permit Total Fees: Fee Amount $85.00 $15.00 $100.00 Print Date: 8/26/02 Project Number: 02007322 Inv: / Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 8/26/02 Page 2 of 2 Notes - Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Sewer Connection Permit $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 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: CKF Printed 13y: CKF Print Date: 8/26/02