2002, 05-01 Permit App: 02003198 Sewer..-
Protect Number 02003198 Inn / Application Date. 5/1/21102 Page 1 of 2
THIS IS NOTA`.; PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use SEWER CONNECTION - LONGVIEW PUD Contact. HAYDEN ENTERPRISES
Address: 3327 W INDIAN TRAIL RD #232
C - S - Z: SPOKANE, WA 99208
Setbacks: Front Leff Right: Rear Phone: (5119) 994-4691
Group Naas:
Site Information: Project Name:
Plat Key 1)1)6266 Name' LONGVIEW PUD District: G
Parcel Number: 55192.0321
Block 2 Lot. 2
SiteAddress. 316 5 MANIFOLD LN
GREENACRES, WA USA 9911
Location:: GRE
Owner: Names HAYDEN ENTERPRISES
Address. 17626 E 2ND
GREENACRES WA 99016
Zoning' UR -3.5 Urban Residential 3.5
Water -District 008 CONSOLIDATED IRRG #1 Hold' ❑
Arca 6,489 Sq Ft Width- 54 Depth' 118 Right Of Way (ft). 32
Nbr of Bldgs. 1 Nbr of Dwellings.
Review Information:
Reti ew
Review 1» Utilities
Permits:
Released By:
Sewer Connection Permit
Contractor NORM'S EXCAVATING Firm: NORM'S BOBCAT SERVICE
Address: PO BOX 574 Phone: (509) 928-115811
VERADALE, WA 991137
Item Description
SEWER CONNECTION
PROCESSING FEE
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Operator: RMB Printed By RMB
Fee Amount
$85.00
$ 15.00
Permit Total Fees: $100.00
Print Date: 5/1/2002
Project Number 02003198 Inv: 1
Application
THIS IS NOT PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/1/2002 Page 2 of 2
Notes:
Payment Summary:
Permit Typc
Sewer Connection Permit
Fee Amount Invoice Amount
$100 00 $100 00
$100.00 $100.00
Amount Paid
$0.00
Amount Owing
$100.00
$0 00 $I00.00
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 he
complied with. Subsequent issuance of a permit shall not be con trued 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 5/1/2002