2002, 04-22 Permit App: 02002859 SewerProject Number: 02002859 Inv: 1
Application
Date: 4/22/02 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: SEWER CONNECTION - EASTON Contact: SHORT SEPTIC SERVICE INC
Address: 3350 WILLIAMS RD E
C - S - Z: ALMIRA WA 99103
Setbacks: Front Left: Right: Rear: Phone: (509) 639-2393
Group Name:
Site Information: Project Name:
Plat Key: 001623 Name: MICHENER'S REPLAT
Parcel Number: 45182.0408 Block: Lot:
SiteAddress: 1420 N MESA RD
SPOKANE, WA 99212
Location:: SPO
Zoning: AG
Water District:
District:
Owner: Name: DECKER, ROBERT L
Address: 1420 N MESA RD
SPOKANE, WA 99212
Hold: ❑
Area: 9,760 Sq Ft Width: 80 Depth: 122 Right Of Way (ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction
Permits: .t.
Contractor: SHORT SEPTIC SERVICE INC
Address: 3350 WILLIAMS RD E
ALMIRA WA 99103
Item Description
SEWER CONNECTION
PROCESSING FEE
Released By:
Sewer Connection Permit
Firm: SHORT SEPTIC SERVICE INC
Phone: (509) 639-2393
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Operator: JAS Printed By: JAS
Permit Total Fees:
Fee Amount
$85.00
$15.00
$100.00
Print Date: 4/22/02
Project Number: 02002859 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/22/02 Page 2 of 2
Notes: IWAIMMAllev-c11,
Payment Summary: _tt-
Permit Type
Sewer Connection Permit
Fee Amount Invoice Amount Amount Paid
$0.00
$100.00 $100.00
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: JAS Printed By: JAS
Print Date: 4/22/02