2002, 09-23 Permit App: 02008213 SewerProject Number' 02008213 Inv: /
1,0
Application
Date 9/23/2002 Page 1 of 2
THIS IS NOT PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION - SKYVIEW 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 Name'
Site Information: Project Name
Plat Key: 002392 Name. SKYVIEW ACRES ADD District: F
Parcel Number. 45284.0722
Block: Lot.
SilcAddress. 11623 E LENORA DR
SPOKANE, WA USA 00000
Location. SPO
Zoning' UR -3.5
Water 1)istnct
Urban Residential 3.5
Arca 16,21)0 Sy Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings 0
Review Information:
Owner Name CARLSON
Address 11623 E LENORA DR
SPOKANE, WA 99206-5744
Hold. El
Depth: 0 Right Of Way (0). 0
Renew
Roatl Obstruction
Permits:
Rcicasbcl Bv:
easeC 0.5
Server Connection Permit
Contractor: NORM'S EXCAVATING Firm NORM'S BOBCAT SERVICE
Address: PO BOX 574
VERADALE, WA 99037
Item Description
SE\VER CONNECTION
PROCESSING FEE
Phone (51)9) 928-0580
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Operator: RMB Printed By: RMB
Fee Amount
$851)11
$1500
Permit Total Fees: $10000
Prins Datc• 9/23/21)1)2
Project Number: 02008213 Inv: 1
Notes:
Application
THIS -1S 1tt)T A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/23/2002 Page 2 of 2
Payment Stunmar)':
Permit Tvpe
Sewer Connection Permit
Fee Amount Invoice Amount
$100.00 $100.00
$100.00 $100,00
Amount Paid
$0.00
Amount Owing
$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 he true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will he
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: RMB Printed By: RMB
Print Date: 9/23/2002