2002, 04-23 Permit App: 02002899 SewerProject Number 02002899 Inv. 1
App! is atign
Date: 4/23/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Infornurtion:
Permit Use. SEWER CONNECTION - EASTON Contact: GOEBER & SONS
Address: 11215 E TRENT AVE
C - S - Z: SPOKANE, WA. 992116
Setbacks Front
Left: Right: Rear: Phone: (509) 924-5372
Group Name:
.Site Information: Project Name:
Plat Key CONV Name: CONVERTED CNTY DATA District. F
Parcel Number: 45084.0328
Block: Lot
SiteAddress: 10111 E 1111SSION AVE
SPOKANE, WA 9921)6
Location:: SPO
Zoning. UR -3.5
Nater District
Urban Residential 3.5
Area 37,000 Sq Ft Width. 11
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction
Permits:
Owner: Name: MOEN, HENRY
Address: 10111 E MISSION AVE
SPOKANE, WA 992116
Hold. ❑
Depth: 0 Right Of IVav (ft): 11
Sewer Connection Permit
Contractor: GOBER & SON & SON Firm. GOBER & SON & SON
Address- 11215 E TRENT Phone: (509) 924-5372
SPOKANE, WA 99206-4696
Item Description
SEWER CONNECTION
PROCESSING FEE
Urns Unit Desc
1 NUMBER OF
1 1' OR BLANK
Operator: RMB Printed By RMB
Fee Amount
$85 00
$15.00
Permit Total Fees: $100.00
Print Date. 4/23/2002
Project Number: 02002899 Inv: 1
Notes:
r
Application
Date: 4/23/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Suntnrnry:.., .... .
Permit Type
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 be 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. 4/23/2002