2002, 09-23 Permit App: 02008212 SewerProject Number: 02008212 Inv 1
. Application Date: 9/23/211112 Page 1 of 2
THIS IS NO,f.A.PERNIIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Usc. SEWER CONNECTION - SKYVIEW Contact: NORM'S EXCAVATING
Address: P.O. BOX 574
C - S - Z- VERADALE, WA 99037
Setbacks. Front Left. RtghtRear Phone: (5119)928-0580
Group Name
Site Information! Project Name.
Plat Key 002392 Name: SKYVIEW ACRES ADD District- F
Parcel Number: 45284.1401
Block Lot
SileAddress: 117111 E LENORA DR Owner: Name: BACKER, RON
SPOKANE, WA 99206 Address: 11711) E LENORA DR
Location'• SPO SPOKANE, WA 99206
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Hold ❑
Arca: Il Acres Width: 90 Depth: 150 Right OfWay (ft): 60
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction
Permits:
Relc:ised:Bv:
Serer Connection Permit
Contractor: NORM'S EXCAVATING Firm. NORM'S BOBCAT SERVICE
Address: PO BOX 574 Phone. (509) 92841580
VERADALE, WA 991137
Item Description
SEWER CONNECTION
PROCESSING FEE
Units Unit Dcsc
I NUMBER OF
1 Y OR BLANK
Operator. RNIB Printed By RMB
Permit Total Fees:
Fcc Amount
$85.00
$15.00
$100.00
Print Date 9/23/21)1)2
Project Number. 02008212 . Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/23/2002 Page 2 of 2
Payment Summary:
Permit Type
Sewer Connection Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$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 he
complied with. Subsequent issuance of a permit shall not he construed 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: RMB Printed By: RMB
Print Date. 9/23/2002