2002, 07-16 Permit App: 02005956 SewerProject Number: 02005956 Inv: 1
Applicata op
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION - EASTON Contact: INLAND EXCAVATING & CONSTRUCTI
Address: 3417 W OLSON RD
C - S - Z: DEER PARK, WA 99006
Setbacks: Front Left: Right: Rear: Phone: (509) 276-8500
Group Name:
Site Information: Project Name:
Date: 7/16/02 Page 1 of 2
Plat Key: 001554 Name: MARION ADD District: F
Parcel Number: 45162.1406 Block: 3
SiteAddress: 10920 E DIAXWELI, AVE
SPOKANE, %VA USA 99206
Location:: SPO
Zoning: UR -7
Nater District:
Urban Residential -7
Lot: 6
Owner: Name: CARUTHERS. DIANA M
Addicss 10920 E NIAX\YELL A\ E
SPOKANE, WA 99206-2500
Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: . - -
Review
Road Obstruction
Released By:
el- /L Ga
_0_2-.21 AAK-5--7G
Permits: ,
Server Cmeuection Permit
Contractor. INLAND EXCAVATING & CONST Firm: INLAND EXCAVATING & CONST
Address: 3417 W OLSON RD Phone : (509) 276-8500
DEER PARK. WA 99006
Item Description
SEWER CONNECTION
PROCESSING FEE
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Operator: CKF Printed By. CKF
Fee Amount
$85.00
515 00
Permit Total Fees: $100.00
Punt Date: 7/16/02
Project Number: 02005956 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/16/02 Page 2 of 2
Notes:
Payment Summary: . ,
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Sewer ConnectionPemut $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: 7/16/02