2002, 09-23 Permit App: 02008211 SewerProject Number 02008211 Inv 1 Application Date' 9/23/2002
THIS IS NIA A 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 991137
Setbacks: Front Left' Right: Rear: Phone: (5119) 928-0580
Group Name.
Site Infornuition: Project Name.
Plat key: 0011111111 Name: UNKNOWN
District F
Parcel Number: 45284.0724
Block: Lot
SiteAddress: 11717 E LENORA DR
SPOKANE, WA 99206
Location.. SPO
Zoning: UNK
)Vater District.
Owner Name: HAGER, CLARK
Address: 11717 E LENORA DR
SPOICANE, WA 992116
Hold: ❑
Area- II Acres Width. 11 Depth 0 Right Of Wap (ft): 11
Nbr of Bldgs: II Nbr of Dwellings' II
Review /nformation: .
Page 1 of 2
Review
Road Obstruction
Permits:
oaSc-c9a3
Sewer Connection Permit
Contractor: NORM'S EXCAVATING Firm' NORM'S BOBCAT SERVICE
Address PO BOX 574
VERADALE, WA 991137
Item Description
SEWER CONNECTION
PROCESSING FEE
Phone. (5091 928-05811
Units Unit Dcsc
I NUMBER OF
I Y OR BLANK
Operator: RMB Printed Bs'. RNIB
Fee Amount
P45 00
51500
Permit Total Fees: 51110 0)
Print Date' 9/23/20112
Project Number. 02008211 Inv. /
Notes:
,,,Aprglication
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date. 9/23/21012 Page 2 of 2
Payment Summary:
Penult 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(%) 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. 9/23/21)02