2002, 07-17 Permit App: 02006025 SewerProject Number 02006025 Inv 1
r Appl_i,Cation
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Data 7/17/2002 Page 1 of 2
Project Information:
Permit Use: SEWER CONNECTION-,p$-6IN-E S. Contact. VISTA CONSTRUCTION & DEV
--"trt.killOS111— Address 3421) N. TSCHIRLEY RD
C - S - Z. SPOKANE. WA 99216
Setbacks. Front Left: Right. Rear. Phone: (509) 926-2243
Group Name
Site Information: Project Name:
Plat Key: 1101743 Name: MYRON ESTATES NO 8 District: F
Parcel Number 440412023
Block: Lot:
SitcAddress' 113118 E FERRET DR
SPOKANE, WA 99206
Location: SPO
Zoning: UR -3.5
Water District
Urban Residential 3.5
Omer Name LORENZEN. MIKE
Address 11308 E FERRE f DR
SPOKANE, WA 99206
Hold' ❑
Area: 1) Sy Ft Width: 0 Depth: 0 Right Of Way (0): 0
Nbr of Bldgs: t Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction
oose.sSB3
Review by Utilities
Permits:
Released By
Sewer Connection Permit
Contractor: VISTA CONSTRUCTION & Firm: VISTA CONSTRUCTION & DEV
Address- 3421) N TSCIIIRLEY RI) #1 Phone: (5119) 926-2243
SPOKANE, WA 99216
Item Description
SEWER CONNECTION
PROCESSING FEE
Units Unit Dcsc
I NUMBER OF
I Y OR BLANK
Operator: RMB Printed By RMB
Permit Total Fees:
Fcc Amount
$g; nn
$1500
$101100
Print Date: 7/17/2002
Project Number: 02006025 Inv: 1
ApNlicaton
Date: 7/17/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
Payment Summary: ....
Permit Type
Sewer Connection Permit
Fee Amount Invoice Amount
$100.00 $100 00
$100.00 $100.00
Amount Paid
$0.00
Amount Owing
$100.00
50.00 $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 he true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will he
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.
Sign:du rc:
Operator: RMB Printed By: RMB
Print Date. 7/17/2002