2002, 07-30 Permit App: 02006420 SewerProject Number: 02006420 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/30/2002 Page 1 of 2
Project Information:
Permit Use: SEWER CONNECTION - SOUTH PONDEROSA
Setbacks: Front
Left: Right: Rear:
Site Information:
........................................................
........................................................
Plat Key: 000000 Name: UNKNOWN
Contact: ACME EXCAVATING
Address: 3021 N LILY RD
C - S - Z: SPOKANE, WA 99212
Phone: (509) 228-0691
Group Name:
Project Name:
District: F
Parcel Number: 44042.1712 Block:
SiteAddress: 4813 S GILLIS WAY CT
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: .00 Acres
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: > :......................................... ......... .
Lot:
Owner: Name: RAFAELO, LORRAINE N
Address: 4813 S GILLIS WAY CRT
SPOKANE, WA 99206-9440
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Road Obstruction
oa S44.41-0
Permits:
Contractor: ACME EXCAVATING
Address: 721 N LILY RD
SPOKANE, WA 99212
Item Description
SEWER CONNECTION
PROCESSING FEE
Sewer Connection Permit
Firm: MAKE ORRINO/ACME EXCAVAT
Phone: (509) 228-0691
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Operator: DMD Printed By: DMD
Fee Amount
$85.00
$15.00
Permit Total Fees: $100.00
Print Date: 7/30/2002
Project Number: 02006420
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/30/2002 Page 2 of 2
Notes: :.
Payment Summary::::
Permit Type
Sewer Connection Permit
Fee Amount Invoice Amount
$100.00 $100.00
$100.00 $100.00
Amount Paid Amount Owing
$0.00 $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: DMD Printed By: DMD
Print Date: 7/30/2002