2006, 09-11 Permit App: 06003452 ROW, SewerProject Number: 06003452 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/11/2006 Page 1 of 1
Project Information:
Permit Use: SEWER CONNECTION
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: CONV Name: CONVERTED CNTY DATA
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Contact: norm's Excavating
Address: P.O. BOX 574
C - S - Z: VERADALE,WA99037
Phone: (509) 928-0580
Group Name:
Project Name:
District: Nort
Parcel Number: 35121.5404
Block: Lot:
SiteAddress: 2507 N BRADLEY RD
Location:: CSV
Zoning: UR -3.5
Urban Residential 3.5
Water District: 002 ORCHARD AVENUE
Area: 1,450.00 Acres Width: 65 Depth: 130 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Owner: Name: KIMPSON, REGINA M
Address: 2507 N BRADLEY RD
SPOKAN VALLEY, WA 99212
Hold: ❑
Review Information:
Permits:
Right of Way
Contractor: NORM'S EXCAVATING INC Firm: NORM'S EXCAVATING INC
Address: PO BOX 574 Phone: (509) 928-0580
VERADALE WA 99037
Item Description Units Unit Desc Fee Amount
ROW - RD OBSTRUCTION 1 NUMBER OF $70.00
Notes:
Payment Summary:
Permit Type
Right of Way
Permit Total Fees: $70.00
Fee Amount Invoice Amount
$70.00 $70.00
Amount Paid
$70.00
Amount Owing
$0.00
$70.00 $70.00 $70.00 $0.00
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: AMB Printed By: jmm
Print Date: 9/11/2006