2002, 06-19 Permit App: 02004951 SewerProject Number: 0200-1951 Inv:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Date: 6/19/2002 Page 1 of 2
•
Permit Use: SEWER CONNECTION - CHINOOK Contact: PERFECTION PLUMBING
Address: 5616 W VISTA GRANDE DR
C - S - Z: OTIS ORCHARDS, WA 99027
Setbacks: Front Left: Right: Rear: Phone: (509) 921-0275
Group Name:
Site Information: Project Name:
Plat Key: 005426 Name: CHINOOK NO. 2 (CHINOOK ESTATES) District: H
••• • 1••, ••••, •• •
Parcel Number: 46364.0507 Block: Lot:
SiteAddress: 4804 N CONKLIN RD
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: 13,788 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Road Obstruction
Permits:
Owner: Name: MONAHAN, DALE J
Address: 4804 N CONKLIN RD
SPOKANE, WA 99216-1759
Hold: n
Depth: 0 Right Of Way (ft): 0
.* ';•." . . . .
— —
I Released By:
xi)01.4.0
Sewer Connection Permit
Contractor: PERFECTION PLUMBING INC
Address: 5616 N VISTA GRANDE DR
OTIS ORCHARDS WA 99027
Item Description
SEWER CONNECTION
PROCESSING FEE
Firm: PERFECTION PLUMBING INC
Phone: (509) 218-8507
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Operator: RMB Printed By: RMB
Permit Total Fees:
Fee Amount
$85.00
$15.00
$100.00
Print Date: 6/19/2002
Project Number: 0200-1951 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/19/2002 Page 2 of 2
Notes:
MAXIMUM OF 30 RESIDENCES UNTIL WATER SYS I'BM COMPLETE PER FIRE DISTRICT
1 - JEF 11/18/94
Payment Summary:
Permit Type
Sewer Connection Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$100.00 $100.00
$100.00 $100.00
$0.00 $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 or local laws or ordinances.
Signature:
Operator: RMB Printed By: RMB
Print Date: 6/19/2002