2002, 05-15 Permit App: 02003751 SewerProject Number. 02003751 Inv: 1 1' tpp]cad On Date 5/15/2002 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 - FAIRACRES Contact: COURCHAINE EXCAVATION
Address: 19818 E SPRAGUE
C - S - Z: GREEENACRES, WA 99016
Setbacks. Front Left' Right Rear Phone: (509) 924-5485
Group Name:
Site Information: Protect Name:
Plat Key. 000765 Name FAIRACRES REPLAT #2 District' H
Parcel Number. 45092.1213
Block: Lot
SiteAddress' 11405 E GRACE AVE
SPOKANE, WA 99206
Location': SPO
Zoning UR -3.5
Water District
Urban Residential 3.5
Owner: Naive. BRICE
Address. 11405 E GRACE AVE
SPOKANE, WA 99206
Hold: ❑
Area 0 Sq Ft Width r 0 Depth. (1 Right Of Way (ft) 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction
Permits:if
cid
Sewer Connection Permit
Contractor. COURCHAINE CONSTRUCTION
Address 19818 E SPRAGUE AVE Phone: (509) 928-0846
GREENACRES, WA 991116
First COURCHAINE CONSTRUCTION
Item Description
SEWER CONNECTION
PROCESSING FEE
Units Unit Dcsc
I NUMBER OF
I Y OR BLANK
Operator DMD Printed By DMD
Fee Amount
$85 1)11
$15 00
Permit Total Fees: $ 100 00
Print Date 5/15/2002
Project Number: 02003751 Inv: 1
Application
THIS IS NOT --A EkMIT
Penalties will be assessed for commencing work without a permit
Date. 5/15/2002 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
$0.00
Amount Owing
$10000
$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 he contrued to he 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 Bv: DMD
Print Date. 5/15/2002