2002, 07-23 Permit App: 02006207 SewerProject Number: 02006207 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION - SOUTH PONDEROSA
Date: 7/23/02 Page 1 of 2
Setbacks: Front
Left: Right: Rear:
Site Information:
wftesm
Plat Key: 001742 Name: MYRON ESTATES #6
Parcel Number: 44042.1717 Block:
SiteAddress: 4910 S GILLIS WAY CT
SPOKANE, WA 99206
Location:: SPO
Zoning: UNKN Unknown
Water District:
Area: 0 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction
Permits: <,
Contractor: ACME EXCAVATING
Address: 721 N LILY RD
SPOKANE, WA 99212
Item Description
SEWER CONNECTION
PROCESSING FEE
Contact:
Address:
C - S - Z:
Phone:
Group Name:
Project Name:
Lot:
ACME EXCAVATING
3021 N LILY RD
SPOKANE, WA 99212
(509) 228-0691
Owner: Name:
Address:
District: F
STREUFERT, PHIL
4910 S GILLIS WAY CT
SPOKANE, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Released y:
Server Connection Permit
Firm: MAKE ORRINO/ACME EXCAVAT
Phone: (509) 228-0691
Units Unit Desc
Operator: CKF Printed By: CKF
NUMBER OF
Y OR BLANK
Permit Total Fees:
Print Date:
Fee Amount
$85.00
$15.00
$100.00
7/23/02
Project Number: 02006207 Inv: 1
t-
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/23/02 Page 2 of 2
Notes
Payment Summary:<
Permit Type
Sewer Connection Permit
woR
Fee Amount
$100.00
$100.00
Invoice Amount
$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: CKF Printed By: CKF
Print Date: 7/23/02