2002, 06-19 Permit App: 02004950 SewerProject Number: 02004950 Inv: 1
Application
Date: 6/19/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
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Permit Use: SEWER CONNECTION - WELLESLEY MANOR
Setbacks: Front
Left: Right: Rear:
Site Information:
........................................................................................ .
Plat Key: 001984 Name: PEPLINSKIS 1ST ADDITION
Contact: PERFECTION PLUMBING
Address: 5616 W VISTA GRANDE DR
C - S - Z: OTIS ORCHARDS, WA 99027
Phone: (509) 921-0275
Group Name:
Project Name:
District:
H
Parcel Number: 45011.0603 Block:
SiteAddress: 4708 N LILLIAN RD
SPOKANE, WA 99216
Location:: SPO
Zoning: UNK
Water District:
Lot:
Owner: Name: NORQUIST KEVIN
Address: 4708 N LILLIAN RD
SPOKANE, WA 99216
Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: :.
Review
Road Obstruction
Released: By•
gee. ted-kr.stott "0 'of) 4,i)04k
Sewer Connection Permit
Contractor: PERFECTION PLUMBING INC
Address: 5616 N VISTA GRANDE DR
OTIS ORCHARDS WA 99027
Item Description
SEWER CONNECTION
PROCESSING FEE
Finn: PERFECTION PLUMBING INC
Phone: (509) 218-8507
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Fee Amount
$85.00
$15.00
Permit Total Fees: $100.00
Operator: RMB Printed By: RMB Print Date: 6/19/2002
Project Number: 02004950
Inv: 1
Application
Date: 6/19/2002
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
Payment Summary:
Permit Type
Sewer Connection Permit
Fee Amount Invoice Amount
$100.00 $100.00
$100.00 $100.00
Amount Paid Amount Owing
$0.00 $100.00
$0.00 $100.00
Page 2 of 2
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and fmds 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: RMB Printed By: RMB Print Date: 6/19/2002