2002, 05-20 Permit App: 02003866 SewerProject Number: 02003866 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for iomwencing work without a permit
Date: 5/20/02 Page 1 of 2
Project Information:
Permit Use: SEWER CONNECTION - EASTON 2 Contact: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE
C - S - Z: GREENACRES, WA 99016
Setbacks: Front Left: Right: Rear: Phone: (509) 924-5485
Group Name:
Site Information: Project Name:
Plat Key: 000986 Name: GILLINGHAM'S SUB
Parcel Number: 45162.1033 Block:
Lot:
District: F
SiteAddress: 10903 E MALLON AVE Owner: Name: GILHAM, CARL
SPOKANE, WA 99206 Address: 10903 E MALLON AVE
Location:: SPO SPOKANE, WA 99206
Zoning: AGSUB
Water District:
Hold: ❑
Area: 0 Sq Ft Width: 90 Depth: 138 Right Of Way (ft): 50
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction
Permits:
Released By:
Sewer Connection Permit
Contractor: COURCHAINE CONSTRUCTION Firm: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE AVE
GREENACRES, WA 99016
Item Description
SEWER CONNECTION
PROCESSING FEE
Phone: (509) 928-0846
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Permit Total Fees:
Fee Amount
$85.00
$15.00
$100.00
Operator: CKF Printed By: CKF Print Date: 5/20/02
1
13
Project Number: 02003866 Inv: I
Applicativv, Date: 5/20/02 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes •
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 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: CKF Printed By: CKF
Print Date: 5/20/02