2000, 01-05 Permit App: 00000098 SewerProject Number: 00000098 Inv: /
Application
THIS IS NOT A PERMIT
Date. 01/05/20 Page 1 of 1
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNEC'T'ION - CHINOOK
Contact: BARTHOLOMEW, MICHAEL
Address: 5009 N LARCH RD
Setbacks' Front Left: Right: Rear: C - S - Z SPOKANE, WA 99216
Phone: (509) 892-5956
Site Information:
Plat Key: 005710 Name: CHINOOK NO. 4 (CHINOOK EST
District: H
Parcel Number: 46363.1112
SiteAddress: 5009 N LARCH RD
SPOKANE, WA 99216
Location:: SPO
Zoning: UR -3.5
Water District
Urban Residential 3.5
Area: 11,141 Sq Ft Width: 85
Nbr of BIdgs: 1 Nbr of Dwellings. 1
Owner: Name: BARTHOLOMEW, MICHAEL
Address: 5009 N LARCH RD
SPOKANE, WA 99216
Hold: ❑
Depth: 110 Right Of Way (ft): 50
Review Information •
Department Review
UTILITIES Review (lt< ��b}• Utilities /�
Comments: TD 2ET33itt co 2 PE12 illi i
Permits:
Contractor: OWNER
Address: 0
000000, 00 000000
Item Description
SEWER CONNECTION
PROCESSING FEE
Payment Summary:
Sewer Permit
Finn: OWNER
Phony (000) 000-0000
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Fee Amount
385.00
$15.00
Permit Total Fees: 5100.00
Operator DMD Printed By: DMD Print Date: 01/05/2000
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Sewer Permit $100.00 $100.00 $0.00 $100.00
5100.00 5100.00 30.00 5100.00
Notes: