2002, 07-16 Permit App: 02005952 SewerProject Number: 02005952 Inv: I
-Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/16/2002 Page 1 of 2
Project Information:
Permit Use: SEWER CONNECTION - SOUTH PONDEROSA &
4 PLUMBING FIXTURES
Setbacks: Front
Left: Right: Rear:
Site Information:
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Plat Key: 001742 Name: MYRON ESTATES #6
Contact: ACME EXCAVATING
Address: 3021 N LILY RD
C - S - Z: SPOKANE, WA 99212
Phone: (509) 228-0691
Group Name:
Project Name:
District:
E
Parcel Number: 44042.1718
Block:
SiteAddress: 4820 S GILLIS WAY CT
SPOKANE, WA 99206
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: 0 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Lot:
Owner: Name: ROGERS, DONALD
Address: 4820 S GILLIS WAY CT
SPOKANE, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Road Obstruction
Permits:
Contractor: ACME EXCAVATING
Address: 721 N LILY RD
SPOKANE, WA 99212
Item Description
TOILETS/BIDETS
SINKS
SHOWERS
PROCESSING FEE
Plumbing Permit
Firm: MAKE ORRINO/ACME EXCAVAT
Phone: (509) 228-0691
Units Unit Desc
1 NUMBER OF
1 NUMBER OF
1 NUMBER OF
1 Y OR BLANK
Fee Amount
$6.00
$6.00
$6.00
$25.00
Permit Total Fees: $43.00
Operator: RMB Printed By: RMB Print Date: 7/16/2002
Project Number: 02005952 Inv: 1
App1catton
THIS IS NOT h PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/16/2002 Page 2 of 2
Sewer Connection Permit
Contractor: ACME EXCAVATING Finn: MAKE ORRINO/ACME EXCAVAT
Address: 721 N LILY RD Phone: (509) 228-0691
SPOKANE, WA 99212
Item Description
SEWER CONNECTION
PROCESSING FEE
Payment Summary: ;:;,:;,.<;::::::;::::
Permit Type
Plumbing Permit
Sewer Connection Permit
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Permit Total Fees:
Fee Amount
$85.00
$15.00
$100.00
Fee Amount Invoice Amount Amount Paid Amount Owing
$43.00 $43.00 $0.00 $43.00
$100.00 $100.00 $0.00 $100.00
$143.00 $143.00 $0.00 $143.00
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and fmds 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: RMB Printed By: RMB Print Date: 7/16/2002