2002, 08-30 Permit App: 02007486 SewerProject Number: 02007486 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/30/02 Page 1 of 2
Project Information:
Permit Use: SEWER CONNECTION - NIIDILOME EAST 3RD
Contact: CLIFF SCHMITZ CONS'T'RUCTION
Address: 16520 E SECRETARIAT
C - S - Z: VERADALE, WA 99037
Setbacks: Front Left: Right: Rear. Phone: (509) 999-7733
Group Name:
Site Information: Project Name:
Plat Key: 006185 Name: MIDILONIE EAST 3RD District: F
Parcel Number 45341.1908 Block: 5 Lot: 8
SiteAddress: 3513 S MCDONALI) ST
SPOKANE, WA USA 00000
Location:: SPO
Zoning• UR -3.5
Nater District
Area: 10.000 Sq Ft
Nbr of Bldgs: 1
Review Information: ,
Urban Residential 3.5
Width: 80
Nbr of Dwellings: 1
Owner: Name: CLIFF SCHMI'I'Z CONSTRUCTION
Address 16520 E SECRETARIAT
VERADALE, WA 99037
Hold: ❑
Depth: 125 Right Of Way (ft): 50
Review
Review by Utilities
Permits:
Released By: 0 L -e-/ 9,2
Sewer Connection Permit
Contractor: FOLSOM EXCAVATING INC Firm: FOLSOM EXCAVATING
Address 16701 E VALLEYWAY AVE Phone: (509) 891-1232
VERADALE, WA 99037
Item Description
SEWER CONNECTION
PROCESSING FEE
Units Unit Desc
1 NUNIBER OF
1 YORBLANK
Operator CKF Printed 13y: CKF
Permit Total Fees:
Fcc Amount
385 00
315 00
$100.00
Print Date: 8/30/02
Project Number: 02007486 Inv: 1
Notes:
Rppfi;ation
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date. 8/30/02 Page 2 of 2
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
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 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 construed 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: 8/30/02