2002, 09-10 Permit App: 02007806 Sewer Project Number: 02007806 Inv: I Application Date: 9/10/2002 Page 1 of 2
THIS IS-r Ol-A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION-EASTON 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: Project Name:
Plat Key: 000000 Name: UNKNOWN District: F
Parcel Number: 45162.0970 Block: Lot:
SiteAddress: 11115 E DEAN AVE Owner:Name: AWBERRY, GARY
SPOKANE,WA USA 00000 Address: 11115 E DEAN AVE
Location:: SPO SPOKANE,WA 99206-5079
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 10,370 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Road Obstruction 't"
Released RN. -� r
O cS00`1 �
Permits: .....::. .:::.....::::.........
Sewer Connection Permit
Contractor: COURCHAINE CONSTRUCTION Firm: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE AVE Phone: (509)928-0846
GREENACRES,WA 99016
Item Description Units Unit Desc Fee Amount
SEWER CONNECTION 1 NUMBER OF $85.00
PROCESSING NEE 1 Y OR BLANK $15.00
Permit Total Fees: $100.00
Operator: DMD Printed By: DMD Print Date: 9/10/2002
Project Number: 02007806 Inv: 1 Application Date: 9/10/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
Pa ment Summa :
V
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Sewer Connection Permit $100.00 $100.00 $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 construed 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: DMD Printed By: DMD Print Date: 9/10/2002