2002, 05-21 Permit App: 02003904 SewerProject Number 02003904 Inv. 1
:Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/21/2002 Page 1 of 2
Project Information:
Permit Use: SEWER CONNECTION - EASTON 1
Setbacks: Front
Site Information:
Plat Key. 001554 Name: MARION ADD District:
Lell: Right: Rear:
Contact: BAILEY'S CONSTRUCTION
Address. E. 3707 28TH
C - S - Z: SPOKANE, WA 99223
Phone: (509) 532-0705
Group Name:
Project Name:
Parcel Number. 45162.1208
Block: Lot.
SiteAddress: 11003 E MAXWELL AVE
SPOKANE, WA 99206
Location:: SPO
Zoning: TFR
Water Distract:
Arca II Sq Ft
Owner: Name: ZUMWOLF, WARREN
Address: 11003 E MAXWELL AVE
SPOKANE, WA 992116
Hold. ❑
Width 11111 Depth: 131) Right Of Way (ft) 11
Nbr of Bldgs: 0 Nbr of Dwellings. 1
Reriety Information: ., .
Review
Road Obstruction
Permits:
t77 -SL( 3
Sewer Connection Permit
ContractorBAILEY'S CONSTRUCTION Firm: BAILEY'S CONSTRUCTION
Address 3707 E 28TH AVE Phone: (5119) 534-961)5
SPOKANE, WA 99223
Item Description
SEWER CONNECTION
PROCESSING FEE
Units Unit Dcsc
1 NUMBER OF
I Y OR BLANK
Operator RMB Printed Bv. RIM
Fee Amount
$85.00
$15.00
Permit Total Fees: $100.00
Print Dale: 5/21/2002
Project Number: 02003904 Inv: 1
Notes:
Application
THIS IS NOT A_REI MIT
Penalties will be assessed for commencing work without a permit
Date: 5/21/2002 Page 2 of 2
Payment Suuunanr: . . .
Permit Type
Sewer Connection Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$100.00 $100.00
$100.00 $100.00
50.00 $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 he 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 he contrucd 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 RM B Printed By. RMB
Print Dale. 5/21/21)1)2