2001, 08-03 Permit App: 01006419 SewerProject Number: 01006419 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/3/01 Page 1 of 1
Proiect Information:
Permit Use: SEWER CONNECTION - PONDEROSA Contact: RICH WALDORF/AAA EXCAVATING
Address: PO BOX 840
C - S - Z: NEWMAN LAKE WA 99025
Setbacks: Front Left: Right: Rear: Phone: (509) 226-0880
Group Name:
Site Information:
Project Name:
Plat Key: 001743 Name: MYRON ESTATES NO 8 District: E
Parcel Number: 44022.1705
SiteAddress: 4818 S LOW WAY CT
SPOKANE, WA 99206
Location:: SPO
Zoning: UNKN Unknown
Water District:
Block: Lot:
Owner: Name: SHOGUN, JIM & JUDY
Address: 4818 S LOW WAY CT
SPOKANE, WA 99206
Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Department Review
ENGINEER Road Obstruction
Hold Reasons:
Permit Conditions:
o� 5i- '/3
Permits:
Sewer Permit
Contractor: AAA EXCAVATING Firm: AAA EXCAVATING
Address: 13906 N EAST NEWMAN LK RD Phone: (509) 226-0880
NEWMAN LAKE WA 99025
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: $100.00
Payment Summary:
Operator: JAS Printed By: JAS Print Date: 8/3/01
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Sewer Permit $100.00 $100.00 $0.00 $100.00
$100.00 $100.00 $0.00 $100.00
Notes: