2002, 06-20 Permit App: 02005008 SewerProject Number. 02005008 Inv: /
• &'application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION - HUTCHINSON Contact. COURCHAINE CONSTRUCTION
Address. 19818 E SPRAGUE
C - S - Z• GREENACRES, WA 99016
Setbacks. Front Left: Right Rear. Phone (509) 924-5485
Group Name:
Site Informations Project Nano
Date: 6/20/2002 Page 1 of 2
Plat Key': 999999 Name: RANGE District: F
Parcel Number 45074.9072
Block Lot:
SiieAddress' 8507 E MISSION AVE
SPOKANE, WA USA 000011
Location SPO
Zoning: UR -3.5
Water District
Urban Residential 3.5
Owner. Name: STONER, W RAYMOND
Address: 8507 E MISSION
SPOKANE, WA 99212
Hold: ❑
Area: .27 Acres Width 95 Depth: 130 Right Of Way (ft): 50
Nbr of Bldgs 1 Nbr of Dwellings. 1
Review Information:
Review
Road Obstruction
Permits:
Released Bv..
5z.D 5►A.
Server Connection Permit
Contractor: COURCHAINE CONSTRUCTION Firm: COURCHAINE CONSTRUCTION
Address 19818 E SPRAGUE AVE Phone: (509) 928-0846
GREENACRES, WA 99016
Item Description
SEWER CONNECTION
PROCESSING FEE
Units Unit Desc
I NUMBER OF
1 Y OR BLANK
Operator: RMB Printed By: RMB
Fee Amount
$85.(1(1
$15.00
Permit Total Fees: $100 no
Print Date: 6/20/2002
Project Number: 02005008 Inv. I
Notes:
Applicattn
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/20/2002 Page 2 of 2
Payment Summary:
Permit Tvpe
Sewer Connection Permit
Fee Amount Invoice Amount
$100.00 $100.00
$100.00 $100.00
Amount Paid
$0.00
Amount Owing
$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 contrued to he 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: RMB Printed By: RMB
Print Date: 6/20/2002