2001, 10-04 Permit App: 01008663 SewerProject Number: 01008663 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/4/2001 Page 1 of 1
Project Information:
.........................................................
Permit Use: SEWER CONNECTION - S PONDEROSA
Setbacks: Front
Left: Right: Rear:
Site Information:
........................................................................
Plat Key: 000875 Name: FOREST MEADOW ADD
Contact: INLAND EMPIRE EXCAVATION
Address: 10211 E. DRIFTWOOD
C - S - Z: SPOKANE, WA 99206
Phone: (509) 891-1586
Group Name:
Project Name:
District: F
Parcel Number: 45333.0102 Block:
Lot:
SiteAddress: 4007 S FOREST MEADOWS D Owner: Name: WEST, DAVID
SPOKANE, WA 99206 Address: 4007 S FOREST MEADOWS DR
Location:: SPO SPOKANE, WA 99206
Zoning: UR -3.5 Urban Residential 3.5
Water District
Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: ; ::...............................
Department
ENGINEER
Hold Reasons:
Permit Conditions:
Review
Road Obstruction
of Gg4
Sewer Connection Permit
Contractor: INLAND EMPIRE EXCAVATION Firm: INLAND EMPIRE EXCAVATION I
Address: 10211 E DRIFTWOOD
SPOKANE, WA 99206
Item Description
SEWER CONNECTION
PROCESSING FEE
Payment Summary:
Operator: DMD
Phone: (509) 891-1586
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Permit Total Fees:
Fee Amount
$85.00
$15.00
$100.00
Printed By: DMD Print Date: 10/4/2001
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Sewer Connection Permit $100.00 $100.00 $0.00 $100.00
$100.00 $100.00 $0.00 $100.00