2001, 06-29 Permit App: 01005277 SewerProject Number: 01005277 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 2
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
Group Name:
Site Information: Project Name:
Plat Key: 000875 Name: FOREST MEADOW ADD District: E
Parcel Number: 45333.0607 Block:
Lot:
SiteAddress: 4312 S FOREST MEADOWS DR Owner: Name: JEWETT, BOB
SPOKANE, WA 99206 Address: 4312 S FOREST MEADOWS D
Location:: SPO SPOKANE, WA 99206
Zoning: UNK
Water District: Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: .;
Department Review
UTILITIES Review by Utilities
Hold Reasons:
Permit Conditions:
ENGINEER
Hold Reasons:
Permits:
Road Obstruction
Permit Conditions:6 j AL D
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 Units Unit Desc Fee Amount
SEWER CONNECTION 1 NUMBER OF $85.00
PROCESSING FEE 1 Y OR BLANK $15.00
Permit Total Fees: $100.00
Project Number: 01005277 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summa
Operator: RMB
Permit Type
Sewer Permit
Date: 6/29/2001
Printed By: RMB
Print Date: 6/29/2001
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