2002, 06-10 Permit App: 02004608 SewerProject Number: 02004608 Iny .1
a
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use. SEWER CONNECTION - EASTON Contact GIDDINGS CONSTRUCTION LLC
Address 11812 E BIGELOW
C - S - Z: SPOKANE WA 99217
Setbacks: Front Left: Right: Rear Phone: (509) 922-5907
Group Name:
Site Information: Project Name:
Date: 6/10/02 Page 1 of 2
Plat Key: 001836 Naine: OI'P.TR. 1-354
District: F
Parcel Number: 45084.0409
Block: Lot:
SiteAddress: 1712 N FELTS RD
SPOKANE, WA 99206
Location:: SPO
Zoning. AGSUB
Water District:
Owner: Name: SOUTHWORTH, ALBERT
Address: 1712 N FELTS RD
SPOKANE, WA 99206
Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 40
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction
Released By: G& ye 1 010101—
02,S ISH4-bu,
Permits• ,
Sewer Connection Permit - -- - - - - - -
Contractor: GIDDINGS CONSTRUCTION Firm: GIDDINGS CONSTRUCTION
Address: 11812 E BIGELOW
SPOKANE, WA 99217
Item Description
SEWER CONNECTION
PROCESSING FEE
Phone: (509) 922-5907
Units Unit Desc
1 NUMBER OF
I Y OR BLANK
Operator: CKF Printed By: CKF
Fee Amount
585.00
515.00
Permit Total Fees: 5100.00
Print Date: 6/10/02
Project Number: 02004608 Inv. 1
a
Appl ication
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 46/10/02 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: 6/10/02