2002, 05-21 Permit App: 02003934 SewerProject Number 02003934 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date. 5/21/21)1)2 Page 1 of 2
Project Information:
Permit Use: SEWER CONNECTION - VALLEY VISTA
Setbacks. Front
Leff Right Rear:
Site Information:
Plat Key 001835 Name: OPP.TR. 1-354
Contact. JONES, WILLIAM & WENDY
Address• 111)1 N FELTS RD
C - S - Z. SPOKANE, WA 992116
Phone (509) 924-2514
Group Name
Project Name:
District: F
Parcel Number: 45171.0916 Block:
SiteAddress: 11111 N FELTS RD
SPOKANE, WA 99206
Location:: SPO
Zoning: UR -3.5
Water District
Urban Residential 3.5
Lot:
Owner Name JONES, WILLIAM & WENDY
Address: 1101 N FELTS RD
SPOKANE, WA 99206
Hold ❑
Area: 0 Sq Ft Width. 11 Depth' 0 Right Of Way (ft)' 0
Nbr of Bldgs' 0 Nbr of Dwellings. 1
Review Information:
Review
Rom
Permits:
Contractor: OWNER
Released
ru)
Server Connection Permit
First: OWNER
Phone:
Ilan Description Units Unit Desc Fee Amount
SEWER CONNECTION I NUMBER OF 5S5 00
PROCESSING FEE 1 Y OR BLANK 515 00
Operator. RMB
Permit Total Fees: $100.00
Printed By: RMB Print Dale.
5/21/2002
Project Number: 02003934 Inv: 1 Applica4n Date: 5/21/2002
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
Payment Summary: _
Permit Type
Server 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
Page 2 of 2
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 he
complied with. Subsequent issmmcc of a permit shall not he contrucd 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: 5/21/2002