2002, 04-04 Permit App: 02002256 Sewer, Sewage EjectorProject Number: 02002256 Inv: /
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/4/02 Page I of 2
Project Information:
Permit Use: SEWAGE EJECTOR/SEWER
CONNECT/HUTCHINSON
Setbacks: Front
Left: Right: Rear:
Site Information:
Contact: VIETZKE EXCAVA'T'ING
Address: 2011 S CRAIG RD
C - S - Z. AIRWAY HEIGHTS, WA 99001
Phone: (509) 244-9607
Group Name:
Project Name
Plat Key: 999999 Name: RANGE District. F
Parcel Number: 45074.9071 Block
SiteAddress: 8519 E MISSION AVE
SPOKANE, WA USA 99206
Location:: SPO
Zoning UNKN Unknown
Water District:
Area: .29 Acres
Width: 0
Nbr of 13Idgs: 0 Nbr of Dwellings: 0
Rehiew Information: L
Lot:
Owner: Name: BERTIS & WEIBER
Address: 4204 E SPRAGUE AVE
SPOKANE WA 99202
Hold. ❑
Depth: 0 Right Of \Vay (ft): 0
Review
Road Obstruction
o._S_r3J_t8S
Permits: ,
Released By:
Plumbing Permit
Contractor: VIETZKE EXCAVATING Firni: VIETZKE EXCAVATING
Address: 2011 S CRAIG RD #1 Phone: (509) 244-9607
AIRWAY HEIGHTS. WA 99001
Item Description
SEWAGE EJECTOR
PROCESSING FEE
MINIMUM FEE ADJUSTMENT
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
I Select
Operator: JAS Printed 13y: JAS
Fee Amount
$6.00
$25.00
$4 00
Permit Total Fees: 535.00
Print Date: 4/4/02
Project Number: 02002256
Inv: /
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/4/02
Contractor: VIETZKE EXCAVATING
Address: 2011 S CRAIG RD #1
AIRWAY HEIGHTS, WA 99001
Item Description
SEWER CONNECTION
PROCESSING FEE
Notes:
Sewer Connection Permit
Page 2 of 2
Firm: VIETZKE EXCAVATING
Phone: (509) 244-9607
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Permit Total Fees:
Fee Amount
$85.00
$15.00
$100.00
Payment Summary: r
Perniit Type
Plumbing Perniit
Sewer Connection Permit
Fee Amount
$35.00
$100.00
Invoice Amount
$35.00
$100.00
$135.00 $135.00
Amount Paid
$0.00
$0.00
Amount Owing
$35.00
$100.00
$0.00 $135.00
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 Dale: 4/4/02