2002, 07-15 Permit App: 02005865 SewerProject Number: 02005865 Im• 1
Application
THIS IS NOT A PERMIT
Date 7/15/02 Page 1 of 2
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: DRYLINE SEWER CONNECTION Contact: 7 -BEST CONSTRUCTION
Address: PO BOX 13421
C - S - Z: SI'OKANE. WA. 99213
Setbacks: Front Left: Right: Rear: Phone: (509) 891-9949
Group Name:
Site Information: Project Name:
Plat Key: 000647 Name: DORA'S SUB.
Parcel Number 35124.0203 Block:
SiteAddress: 6919 E NIANSFIEI,D AVE
SPOKANE. WA 99212
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
District- E
Lot:
Owner: Name: MATTERN, FLOYD
Address: 6919 E MANSFIELD AVE
SPOKANE, WA 99212
Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 40
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction
Review by Utilities
Permits:
Contractor: Z BEST CONSTRUCTION
Address P 0 BOX 13241 AVE
SPOKANE, WA 99213-3241
Item Description
SE\VER CONNECTION
PROCESSING FEE
Released By: at -t--1--1 -o 2
Released By: 494l.)
Sewer Connection Permit
Fn in: 7 BEST CONSTRUCTION
Phone: (509) 891-9949
Units Unit nese
1 NUMBER OF
1 Y OR BLANK
Operator: CKF Printed 13y. CKF
Fee Amount
$85.00
$15.00
Permit 'Total Fees: $100.00
Print Date: 7/15/02
Project Number: 02005865 Inc: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/15/02 Page 2 of 2
Notes: , _
Payment Summon,: ,
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: 7/15/02