2002, 05-08 Permit App: 02003495 SewerProject Number: 02003495 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/8/2002 Page 1 of 2
Project Information:
Permit Use: SEWER CONNECTION - EASTON Contact: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE
C - S - Z: GREENACRES, WA 99016
Setbacks: Front Left: Right: Rear: Phone: (509) 924-5485
Group Name:
Site Information: Project Name:
................................. .
Plat Key: 001644 Name: MISSION RIDGE
District: F
Parcel Number: 45093.1814 Block: 1
SiteAddress: 1721 N N GLENN CRT
SPOKANE, WA USA 00000
Location:: SPO
Lot: 6
Owner: Name: HALL, KATHRYN L
Address: 1721 N GLENN CT
SPOKANE, WA 99206-4875
Zoning: UR -7 Urban Residential -7
Water District: Hold: ❑
Width: 0 Depth: 0 Right Of Way (ft): 0
Area: .00 Acres
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:::>::>..:..;:::<:>::>::>::>::>::>::>::>::.•.......... ...........
Review
Road Obstruction
Permits:
Released By.
Ctka4-1)51
IVB
6A_S ( 0
Sewer Connection Permit
Contractor: COURCHAINE CONSTRUCTION Firm: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE AVE Phone: (509) 928-0846
GREENACRES, WA 99016
Item Description
SEWER CONNECTION
PROCESSING FEE
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Operator: RMB Printed By: RMB
Fee Amount
$85.00
$15.00
Permit Total Fees: $100.00
Print Date: 5/8/2002
Project Number: 02003495
Notes:
Inv: 1
Application
THIS IS NOVA P: ;RMIT
Penalties will be assessed for commencing work without a permit
Date: 5/8/2002 Page 2 of 2
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: RMB Printed By: RMB Print Date: 5/8/2002