2001, 06-29 Permit App: 01005279 SewerProject Number: 01005279 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/29/2001 Page 1 of 1
Project Information:
Permit Use: SEWER CONNECTION - SOUTH PONDEROSA Contact: SHORT SEPTIC SERVICE INC
Address: 3350 WILLIAMS RD E
C - S - Z: ALMIRA WA 99103
Setbacks: Front Left: Right: Rear: Phone: (509) 639-2393 r4_%.Soy 637 - .Z CC 7
Group Name:
Site Information: Project Name:
Plat Key: 000000 Name: UNKNOWN District: F
Parcel Number: 45333.0506 Block: Lot:
SiteAddress: 4114 S FOREST MEADOWS DR Owner: Name: FABBIANO, MICHAEL P & AN
SPOKANE, WA USA 00000 Address: 4114 S FOREST MEADOWS DR
Location:: SPO SPOKANE, WA 99206-8658
Zoning: UR -3.5 Urban Residential 3.5
Water District Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Department,
ENGINEER
Hold Reasons:
Review
Road Obstruction
d
Permit Conditions: ®l SL. ? / /
Contractor: SHORT SEPTIC SERVICE INC
Address: 3350 WILLIAMS RD E Phone: (509) 639-2393
ALMIRA WA 99103
Sewer Permit
Firm: SHORT SEPTIC SERVICE INC
Item Description
SEWER CONNECTION
PROCESSING FEE
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Fee Amount
$85.00
$15.00
Permit Total Fees: $100.00
PaymentS u
mm
Operator: RMB Printed By: RMB Print Date: 6/29/2001
Permit Type
Sewer 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