2002, 05-20 Permit App: 02003886 SewerProject Number: 02003886 Inv: 1
Application
Date: 5/20/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
............ .
Permit Use: SEWER CONNECTION - EASTON
Setbacks: Front
Left: Right: Rear:
Site Information:
.................... .
Plat Key: 001838 Name: OPP.TR. 1-354
Contact: VISTA CONSTRUCTION & DEV
Address: 3420 N. TSCHIRLEY RD
C - S - Z: SPOKANE, WA 99216
Phone: (509) 926-2243
Group Name:
Project Name:
District: F
Parcel Number: 45163.0426
Block:
SiteAddress: 10805 E NIXON AVE
SPOKANE, WA 99206
Location:: SPO
Zoning: UR -3.5
Water District:
Area: 0 Sq Ft
Urban Residential 3.5
Lot:
Owner: Name: BOHARA, MARY
Address: 10805 E NIXON AVE
SPOKANE, WA 99206
Hold: ❑
Width: 80 Depth: 160 Right Of Way (ft): 40
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction
Permits:
Released By. _.,„. „„,..„ 1fA
aP
C�2SC 3q2
Contractor: VISTA CONSTRUCTION &
Address: 3420 N TSCHIRLEY RD #1
SPOKANE, WA 99216
Item Description
SEWER CONNECTION
PROCESSING FEE
Sewer Connection Permit
Finn: VISTA CONSTRUCTION & DEV
Phone: (509) 926-2243
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: 5/20/2002
Project Number: 02003886 Inv: 1 Application Date: 5/20/2002
THIS IS NOT AJPE;RMIT
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
Amount Paid Amount Owing
$0.00 $100.00
$100.00 $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 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: RMB Printed By: RMB Print Date: 5/20/2002