2002, 06-17 Permit App: 02004851 SewerProject Number: 02004851
Inv: 1
Application
Date: 6/17/02 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION - MIDILOME EAST 3RD Contact CLIFF SCHMITZ CONSTRUCTION
Address: 16520 E SECRETARIAT
C - S - Z: VERADALE. WA 99037
Setbacks: Front Left: Right: Rear: Phone: (509) 444-7733
Group Name:
Site Information: Project Name:
Plat Key. 006185 Name: MIDILOME EAST 3RD - District: F
Parcel Number: 45341.1802 Block: 4
SiteAddress: 3421 S MCDONALD ST
SPOKANE, WA USA 00000
Location:: SPO
Lot 2
Owner: Name: CLIFF SCHMITZ CONSTRUCTION
Address: 16520 E SECRETARIAT
VERADALE, WA 99037
Zoning. UR -3.5 Urban Residential 3.5
Water District Hold: ❑
Area: 1,539.00 Acres Width: 109 Depth: 125 Right Of Way (ft): 50
Nbr of 13Idgs: 1 Nbr of Dwellings: 1
Review Information: ,
Review
Review by Utilities
Permits:
Released By:
Ot FOJ 7 czar
Server Connection Permit
Contractor: FOLSOM EXCAVATING INC Firm: FOLSOM EXCAVATING
Address. 16701 E VALLEYWAY AVE
VERADALE, WA 99037
Item Description
SEWER CONNECTION
PROCESSING FEE
Phone: (509) 891-1232
Units Unit Desc
1 NUMBER OF
I Y OR I3LANK
Operator: CKF Printed By. CKF
Permit Total Fees:
Fee Amount
$85 00
$15 00
5100 00
Print Date: 6/17/02
Project Number: 02004851 Inv: /
Application t Date: 6/17/02 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes: -
Payment Summary: , - -
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owinu
Sewer Connection Permit $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 persons) 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 13y: CKF
Print Date: 6/17/02