2002, 07-29 Permit App: 02006399 SewerProject Number: 02006399 hro: 1
Application
Dale: 7/29/2002 Page 1 of 2
THIS IS1NO r A PERMIT
Penalties will be assessed for commencing work without a permit
Project I)tforn)tion:
Permit Use. SEWER CONNECTION - WALLNU'I' Contact: SPECIALTY DIRT WORKS
Address 482 DRAGON FLY DR
C - S - Z: COEUR D'ALENE, 11) 83815
Setbacks: Front Left Right: Rear: Phone (208) 676-0967
Group Name
Site Information: Project Name.
PIM Key. 001834 Name OPP.TR. 1-354 District' F
Parcel Number 45173.0810
Block Lot.
SiteAddress 416 N LOCUST RD
SPOKANE, \VA USA 000011
Location:. SPO
Zoning: UR -3.5
Water District
Urban Residential 3.5
Arca. 19,200 Sq Ft Width. 0
Nbr of Bldgs' 0 Nbr of Dwellings. 0
Review Information:
Owner Name' GORDON. HARI,EY
Address 416 N LOCUST RD
SPOKANE, WA 99206-3869
Hold: ❑
Depth: 0 Right Of Way (CO 0
Review
Road Obstruction
Permits:
_245 St. 4 t -B
Sewer Cmureetiun Permit
Contractor. SPECIALTY DIRT WORKS Firm: SPECIALTY DIRT WORKS
Address: 482 DRAGON FLY Phone: (2118) 929-1494
COEUR D'ALENE, ID 83815
Item Description • Units Unit Desc Fee Amount
SEWER CONNECTION I NUMBER OF $85.110
PROCESSING FEE 1 Y OR BLANK 515 00
Operator: RMB Printed By RMB
Permit Total Fees: $100 00
Print Date: 7/29/2002
Project Number: 02006399 lnv: 7
Application
THIS IS NOT A PERMIT
Penalties will be assessed for ci;mmoncing work without a permit
Date: 7/29/2002 Page 2 of 2
Notes:
Payment Summary:
Permit Type
Sewer Connection Permit
Fcc Amount Invoice Amount Amount Paid Amount Owing
$100.00 $100.00 $0 00 $100.00
$10000 $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 he true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not he contrued 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 Pnnted By: RMB
Print Date: 7/29/2002