2001, 09-19 Permit App: 01008116 SewerProject Number. 01008116 Inv: 1
Application
Date: 9/19/20111 Page 1 of 1
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION - WELLESLEY MANOR Contact NORM'S EXCAVATING
Address. P.O. BOX 574
C - S - Z VERADALE, WA 99037
Setbacks: Front Left' Right: Rear: Phone: (509) 928-0580
Group Nance:
Site Information: Project Name:
Plat Kev. 002847 Name: WELLESLEY MANOR IST ADD District:
Parcel Number: 45012.2411
Block: Lot.
SiteAddress: 16003 E HEROY AVE Owner: Name: RANKIN, PAT
SPOKANE, WA 99216 Address: 160113 E HEROY AVE
Location: SPO
Zoning: A
Water District:
SPOKANE, WA 99216
Hold: ❑
Area: 0 Sy Ft Width: 104 Depth: 115 Right Of Way (ft): 50
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Department Review
ENGINEER Road Obstruction
Hold Reasons:
Permits:
Permit Conditions: 0/ 5eCto act
Server Connection Permit
Contractor: NORM'S EXCAVATING Firm: NORM'S BOBCAT SERVICE
Address: PO BOX 574
VERADALE, WA 99037
Itein Description
SEWER CONNECTION
PROCESSING FEE
Payment Summary: .
Operator: MKC
Permit Type
Sewer Connection Permit
Notes:
Phone: (509) 928-0580
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Printed By: MKC
Fee Amount
$85.00
$15.00
Permit Total Fees: $100.00
Print Date: 9/19/2001
Fee Amount Invoice Amount Amount Paid Amount Owing
$100.00 $100.00 $0.00 $100.00
$100.00 $100.00
$0.00 $100.00