2002, 04-22 Permit App: 02002837 SewerProject Number: 02002837
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/22/02 Page 1 of 2
Proiect Information:
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Permit Use: SEWER CONNECTION - HUTCHINSON Contact: VIETZKE EXCAVATING
Address: 2011 S CRAIG RD
C - S - Z: AIRWAY HEIGHTS, WA 99001
Setbacks: Front Left: Right: Rear: Phone: (509) 244-9607
Group Name:
Project Name:
Name: MICHENER'S REPLAT
Site Information:
Plat Key: 001623
Parcel Number:
45181.0612 Block:
SiteAddress: 1419 N MESA RD
SPOKANE, WA USA 99212
Location:: SPO
Zoning: UR -3.5
Water District:
Area: 9,690 Sq Ft
Nbr of Bldgs: 0
Review Information:
Review
Road Obstruction
Permits:
Urban Residential 3.5
Width: 0
Nbr of Dwellings: 0
Contractor: VIETZKE EXCAVATING
Address: 2011 S CRAIG RD #1
MEDICAL LAKE, WA 99022
Item Description
SEWER CONNECTION
PROCESSING FEE
Lot: 9
Owner: Name:
Address:
District: F
KADOYA, TOM Y
1419 N MESA RD
SPOKANE, WA 99212-2526
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Released By
Sewer Connection Permit
Units
1
1
Operator: CKF Printed By: CKF
Firm: VIETZKE EXCAVATING
Phone: (509) 244-9607
Unit Desc
NUMBER OF
Y OR BLANK
Permit Total Fees:
Print Date:
Fee Amount
$85.00
$15.00
$100.00
4/22/02
Project Number: 02002837 Inv: 1
Application
THIS IS NOTA PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/22/02 Page 2 of 2
Payment Summary:
Permit Type
Sewer Connection Permit
Fee Amount Invoice Amount
$100.00
Amount Paid
$100.00 $0.00
Amount Owing
$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: 4/22/02