2002, 07-17 Permit App: 02005996 Sewer Project Number: 02005996 Inv: 1 ,cation Date: 7/17/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION-BASCETTA Contact: Z BEST CONSTRUCTION
Address: P.O. BOX 13421
C-S-Z: SPOKANE WA 99213
Setbacks:Front Left: Right: Rear: Phone: (509)891-9949
Group Name:
Site Information: Project Name:
.:.............................:.........................................................................................................................................................
Plat Key: 002876 Name: WEST VALLEY ADD NO.4 District: E
Parcel Number: 45182.0122 Block: Lot:
SiteAddress: 1419 N LEWIS RD Owner:Name: SMALL,BARBARA
SPOKANE,WA 99212 Address: 1419 N LEWIS RD
Location::SPO SPOKANE,WA 99212
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 0 Sy Ft Width: 0 Depth: 0 Right Of Way(ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review
Road Obstruction Released By: 1.. !7 -0 ::
oa S z-5 I
Sewer Connection Permit
Contractor: Z BEST CONSTRUCTION Finn: Z BEST CONSTRUCTION
Address: P 0 BOX 13241 AVE Phone: (509)891-9949
SPOKANE,WA 99213-3241
Item Description Units Unit Desc Fee Amount
SEWER CONNECTION 1 NUMBER OF $85.00
PROCESSING FEE ". 1 Y OR BLANK $15.00
Permit Total Fees: $100.0(1
Operator: RMB Printed By: RMB Print Date: 7/17/2002
•-.J
Project Number: 02005996 Inv: 1 •••...Application Date: 7/17/2002 Page Appllcatlon 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
Pa ment Summa
v ry
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Sewer Connection Permit $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 be
complied with. Subsequent issuance of a permit shall not be contrued 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: 7/17/2002