Loading...
2001, 10-15 Permit App: 01009068 SewerProject Number: 01009068 Inv: 1 Applk ati on Date: 10/15/2001 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 - S PONDEROSA Contact: Z BEST CONSTRUCTION Address: P.O. BOX 13421 C - S - Z: SPOKANE WA 99213 Setbacks: Front Left: Right: Rear: Phone: (509) 891-9949 Group Name: Site Information: Project Name: Plat Key: 001741 Name: MYRON ESTATES #5 District: F Parcel Number: 44042.1304 Block: Lot: SiteAddress: 4815 S BOWDISH RD SPOKANE, WA 99206 Location:: SPO Zoning: COMM Water District: Owner: Name: RENDALL, JERRY Address: 4815 S BOWDISH RD SPOKANE, WA 99206 Hold: Ell Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Road Obstruction Released Sewer Connection Permit Contractor: Z BEST CONSTRUCTION Firm: Z BEST CONSTRUCTION Address: P 0 BOX 13241 AVE Phone: (509) 891-9949 SPOKANE, WA 99213-3241 Item Description SEWER CONNECTION PROCESSING FEE Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Fee Amount $85.00 $15.00 Permit Total Fees: $100.00 Operator: DMD Printed By: DMD Print Date: 10/15/2001 Project Number: 01009068 Inv: 1 Notes: Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/15/2001 Page 2 of 2 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 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 o loca ws dr ordinances. ,.... /7 Signature: / Operator: DMD Printed By: DMD Print Date: 10/15/2001