2002, 05-06 Permit App: 02003386 SewerProject Number: 02003386 Inv: 1
l\pplication
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/6/2002 Page 1 of 2
Project Information:
............................................................
Permit Use: SEWER CONNECTION - EASTON
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: CONV Name: CONVERTED CNTY DATA
Contact: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE
C - S - Z: GREENACRES, WA 99016
Phone: (509) 924-5485
Group Name:
Project Name:
District: U
Parcel Number: 45162.1028
Block:
SiteAddress: 111812 E CATALDO AVE
GREENACRES, WA 9921)6
Location:: GRE
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Lot:
Owner: Name: FORD, DIANE
Address: 10812 E CATALDO AVE
GREENACRES, WA 9921)6
Hold: ❑
Area: 11 Sy Ft Width: 179 Depth: 138 Right Of Way (ft): 0
Nbr of Bldgs: I Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction
Released Bs a_
tr)9S 19 331
Server C'rnrnection Perurit
Contractor: COURCHAINE CONSTRUCTION Firm: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE AVE Phone: (5119) 928-0846
GREENACRES, WA 991)16
Item Description Units Unit Desc Fee Amount
SEWER CONNECTION I NUMBER OF $85.00
PROCESSING FEE I Y OR BLANK $15.00
Operator: RMB Printed By: RMB
Permit Total Fees: 5100.00
Print Date: 5/6/2002
Project Number: 02003386 Inv: 1
Appli \tion
THIS IS NOTA PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/6/2002 Page 2 of 2
Payment Summary:
Permit Type
Sewer Connection Permit
Fee Amount Invoice Amount
$100.00 $100.00
5100.00 $100.00
Amount Paid
$0.00
Amount Owing
$100.00
50.00 $ I00,00
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 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 be cont rued 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: RMB Printed By: RMB
Print Date: 5/6/2002