2002, 07-18 Permit App: 02006036 SewerProject Number: 02006036 Inv: 1
Application
Date: 7/18/02 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION - SOUTH PONDEROSA
Contact: ACME EXCAVATING
Address: 3021 N LILY RD
C - S - Z: SPOKANE, WA 99212
Setbacks: Front Left: Right: Rear: Phone: (509) 228-0691
Group Name:
Site Information: Project Name:
Plat Key: 001742 Name: MYRON ESTATES #6 District: F
Parcel Number: 44042.1714 Block: Lot:
SiteAddress: 4916 S GILLIS WAY CT
SPOKANE, WA 99206
Location:: SPO
Zoning: UNKN Unknown
Water District:
Owner: Name: FISHER, BARBARA
Address: 4916 S GILLIS WAY CT
SPOKANE, WA 99206
Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 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
Released By: `�,y [ rf. l Ei •
Sewer Connection Permit
Firm: MAKE ORRINO/ACME EXCAVAT
Phone: (509) 228-0691
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Operator: JAS Printed By: JAS
Permit Total Fees:
Fee Amount
$85.00
$15.00
$100.00
Print Date: 7/18/02
Project Number: 02006036 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/18/02 Page 2 of 2
Notes:
Payment Summary:
Permit Type
Sewer Connection Permit
Fee Amount
$100.00
cr • : >yAu`%., `+ e Vii ' ' 0,0, ,,,,3`:X4
Invoice Amount
$100.00
Amount Paid Amount Owing
$0.00 $100.00
$100.00 $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: JAS Printed By: JAS
Print Date: 7/18/02