2002, 03-21 Permit App: 02001816 SewerProject Number 02001816 Inc: 1 Application Data 3/21/2002
c
THIS IS N, — L PERMIT
Penalties will be assessed for commencing work without a permit
Project /nformation:
Page 1 of 2
Pcrmtl Use: SEWER CONNECTION - 11UTCHINSON Contact: VISTA CONSTRUCTION & DEV
Address: 3420 N. TSCHIRLEY RD
C - S - Z: SPOKANE, WA 99216
Setbacks: Front Left Right: Rear. Phone: (509) 926-2243
Group Nanie'
Site Information: Project Name:
Plat Key. 001288 Name HUTCIIINSON'S ADD District: E
Parcel Number 45181.0528
Block: Lot:
SitcAddress: 15112 N BESSIE RD
SPOKANE, WA 99212
Location:: SPO
Zoning' UR -3.5
Water District
Urban Residential 3.5
Owner. Name: ARVIDSON, NANCY
Address: 1502 N BESSIE RD
SPOKANE, WA 99212
Hold: ❑
Arca: 0 Sq Ft Width: 0 Depth. 0 Right Of Way (ft): 45
Nbr of Bldgs' 1 Nbr of Dwellings:
Review Information:
Review
Plan Review
Released By.
®�
Permits: .. ...
1.'/9
Server Connection Permit
Contractor' VISTA CONSTRUCTION & Firm. VISTA CONSTRUCTION & DEV
Address 3421) N TSCHIRLEY RD #1
SPOKANE, WA 99216
hem Description
SEWER CONNECTION
PROCESSING FEE
Phone: (5119)926-2243
Units Unit Dcsc
1 NUMBER OF
1 Y OR BLANK
Operator: DMD Printed By: DMD
Fee Amount
$85.00
$15.011
Permit Total Fees: $100.00
Print Date: 3/21/2002
Project Number: 02001816 Inc: 1 Application Date. 3/21/2002
THIS IS NTT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes: -
Payment Summar':
Permit Tvpe
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
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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 he 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 he contrued to he 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: DMD
Printed By. DMD
Print Date: 3/21/2002