2001, 04-23 Permit App: 01002803 SewerProject Number: 01002803 Inv: 1
;r
Application
THIS IS NOT A PERMIT
Date: 4/23/01 Page 1 of 2
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION - EAST BASIN Contact: TRIPLE H CONSTRUCTION
Address: 13121 N PEONE RD
C - S - Z: MEAD, WA 99021
Setbacks: Front Left: Right: Rear: Phone: (509) 466-5508
Group Name:
Site Information: Project Name:
Plat Key: 000000 Name: UNKNOWN District: F
Parcel Number: 45084.0481
Block: Lot:
SiteAddress: 1714 N FELTS RD
SPOKANE, WA USA 00000
Location:: SPO
Owner: Nance: SHAFFER, TAMARA L & BRA
Address: 1714 N FELTS RD
SPOKANE, WA 99206
Zoning: UR -3.5 Urban Residential 3.5
Water District 999 UNKNOWN Hold: ❑
Area: .43 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings 0
Review Information:
Department
BUILDING
Permit Conditions:
UTILITIES
Flol easons•
Permit C nditions:
Permits:
Review
Special Reviews
uca c 411
Released 13y: 044 ' Gf `Y . 2 -LP -6-7
Sewer Review
Releas
4/491
Contract/ UNKNOWN v
tgFirm: UNKNOWN
Addre s: UNKNOWN Phone: (000) 000-0000
UNKNOWN, WA UNKNOWN
s
Server Peri it
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
Project Number: 01002803 Inv: 1
Application
Date: 4/23/01 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary:
Operator: RMB Printed By: RMB Print Date: 4/23/01
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Sewer Permit $100.00 $100.00 $0.00 $100.00
$ I00.00 $100.00 $0.00 $100.00
Notes: , .