2001, 11-05 Permit App: 01009822 SewerProject Number: 01009822 Inv: 1
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Application Date: 11/5/01 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 - CHESTERFIELD Contact: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE
C - S - Z: GREENACRES, WA 99216
Setbacks: Front Left: Right: Rear: Phone: (509) 924-5485
Group Name:
Project Name:
Site Information:
Plat Key: 001629 Name: MIDILOME
District: F
Parcel Number: 45331.0212 Block: 2
SiteAddress: 3607 S BOWDISH RD
SPOKANE, WA USA 99206
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: 12,525 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Road Obstruction
Lot: 12
Owner: Name: MULLIGAN, CASSANDRA L
Address: 3607 S BOWDISH
SPOKANE, WA 99206
Hold: LI
Depth: 0 Right Of Way (ft): 0
Sewer Connection Permit
Contractor: COURCHAINE CONSTRUCTION Firm: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE AVE Phone: (509) 928-0846
GREENACRES, WA 99016
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: 11/5/01
Project Number: 01009822
Inv: 1
•
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/5/01
Notes:
Payment Summary:
Permit Type
Sewer Connection Permit
Fee Amount Invoice Amount
$100.00 $100.00
$100.00 $100.00
Amount Paid
$0.00
$0.00
Amount Owing
$100.00
$100.00
Page 2 of 2
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: 11/5/01