2001, 12-27 Permit App: 01011067 SewerProject Number: 01011067 Inv: 1
Appication
Date: 12/27/01 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: SEWER CONNECTION - SP -1271-01 PARCEL C
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: 006200 Name: SP -1271-01
Parcel Number: 45261.1633 Block:
Contact: FOLSOM EXCAVATING
Address: 16701 E VALLEYWAY
C - S - Z: VERADALE WA 99037
Phone: (509) 891-1232
Group Name:
Project Name:
District: F
SiteAddress: 2308 S MARCUS LN
VERADALE, WA USA 99037
Location:: VER
Zoning: UR -3.5 Urban Residential 3.5
Water District: 010 VERA
Area: 14,554 Sq Ft
Nbr of Bldgs: 1
Width: 0
Nbr of Dwellings: 1
Review Information:
Lot: C
Owner: Name: DIAMOND ROCK CONSTRUCTIO
Address: 15706 E VALLEYWAY
VERADALE WA 99037
Hold: ā
Depth: 0 Right Of Way (ft): 20
Review
Review by Utilities
Permits:
Contractor:
Address:
FOLSOM EXCAVATING INC
16701 E VALLEYWAY AVE
VERADALE, WA 99037
Item Description
SEWER CONNECTION
PROCESSING FEE
Operator: JAS Printed By:
Sewer Connection Permit
Units
1
1
Firm: FOLSOM EXCAVATING
Phone:
Unit Desc
NUMBER OF
Y OR BLANK
Permit Total Fees:
(509) 891-1232
Print Date:
Fee Amount
$85.00
$15.00
$100.00
Project Number: 01011067
Notes:
Inv: 1
App ietitic}nā
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 12/27/01 Page 2 of 2
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: JAS Printed By: Print Date: