2002, 07-18 Permit App: 02006047 SewerProject Number: 02006047 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/18/2002 Page 1 of 2
Project Information:
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Permit Use: SEWER CONNECTION - MISSION
Setbacks: Front
Left: Right: Rear:
Site Information:
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Plat Key: 000000 Name: UNKNOWN
Contact: BAILEY CONSTRUCTION
Address: PO BOX 149
C - S - Z: MEAD, WA 99021
Phone: (509) 467-5667
Group Name:
Project Name:
District: F
Parcel Number: 45172.0508
Block:
SiteAddress: 1324 N FARR RD
Spokane, WA USA 99206
Location:: SPO
Zoning: UNKN Unknown
Water District:
Area: 9,900 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: :.
Lot:
Owner: Name: DERR, LARRY
Address: 1324 N FARR RD
SPOKANE, WA 99206-4050
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Road Obstruction
Permits:
Released By:
_a slAS91
SI
Contractor: BAILEY'S CONSTRUCTION
Address: 3707 E 28TH AVE
SPOKANE, WA 99223
Item Description
SEWER CONNECTION
PROCESSING FEE
Sewer Connection Permit
Firm: BAILEY'S CONSTRUCTION
Phone: (509) 534-9605
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Operator: DMD Printed By: DMD
Fee Amount
$85.00
$15.00
Permit Total Fees: 5100.00
Print Date: 7/18/2002
Project Number: 02006047
Inv: 1 Application Date: 7/18/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
Payment Summary::::
Permit Type
Sewer Connection Permit
Fee Amount Invoice Amount
$100.00 $100.00
$100.00 $100.00
Amount Paid Amount Owing
$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 fmds 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.
Sign a to re:
Operator: DMD Printed By: DMD
Print Date: 7/18/2002