2002, 07-01 Permit App: 02005407 SewerProject Number: 02005407
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for coil fencing work without a permit
Date: 7/1/02 Page 1 of 2
Project Information:
Permit Use: SEWER CONNECTION - S PONDEROSA
Setbacks: Front
Site Information:
6.;44.,..
Contact: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE
C - S - Z: GREENACRES, WA 99016
Left: Right: Rear: Phone: (509) 924-5485
Group Name:
Project Name:
M . P. ..:
Plat Key: 000875 Name: FOREST MEADOW ADD
Parcel Number: 45333.0202 Block: 2 Lot: 2
SiteAddress: 4024 S FOREST MEADOWS D
SPOKANE, WA USA 99206
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: .00 Acres
Nbr of Bldgs: 0
Width: 0
Nbr of Dwellings: 0
Review Information: u
Review
Road Obstruction
Permits:
Owner: Name:
Address:
NSIMMZETAMMAIMNAMMMVANIPERMMONAW
District: F
BOYD, JOHN E
4024 S FOREST MEADOW DR
SPOKANE, WA 99206-9683
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Released By:
o at SPA Sa_1
Sewer Connection Permit
Contractor: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE AVE
GREENACRES, WA 99016
Item Description
SEWER CONNECTION
PROCESSING FEE
Firm: COURCHAINE CONSTRUCTION
Phone:
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Operator: CKF Printed By: CKF
Permit Total Fees:
(509) 928-0846
Print Date:
Fee Amount
$85.00
$15.00
$100.00
7/1/02
Project Number: 02005407 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for cainmencing work without a permit
Date: 7/1/02 Page 2 of 2
Notes:
Payment Summary: -
Permit Type
Sewer Connection Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$100.00 $100.00 $0.00 $100.00
$100.00 $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: CKF Printed By: CKF
Print Date: 7/1/02