2000, 08-18 Permit App: 00007293 SewerProject Number 00007293 Inv. /
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date. 08/18/2000 Page 1 of I
Project Information:
Permit Use• SEWER CONNECTION - AUTUMN PLACE Contact: DOUGLASS, HARLEY C
Address: 8510 N CRESTLINE ST
C -S-Z SPOKANE, WA 99217
Setbacks: Front Left: Right: Rear: Phone: (509) 487-9792
Group Name:
Site Information:Project Name.
Plat Key: 006070 Name: AUTUMN PLACE
Parcel Number: 45234.0908 Block 1
SrteAddress: 1103.S NEWER CT
VERADALE, WA USA 9903
Location.: VER
Zoning: UNKN Unknown
Water District. 010 VERA
Area' 11,768 Sq Ft Width
Lot 13
Owner: Name
Address
District F
DOUGLASS, HARLEY C
8510 N CRESTLINE S1'
SPOKANE, WA 99217
Hold: ❑
86 Depth: 147 Right Of Way (ft): 35
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Department Review
UI'ILLI'IES Sewer Review Released �,�.a�-a..�. $ - 1 `Ir 00
Holtieasons: GE FOSZ(Y� NOT 7—tni U t rLtb —SF P 1
Permit Conditions
Permits:
Contractor. CANNON EXCAVATING INC
Address- PO BOX 28778
SPOKANE, WA 99228
Item Description
SEWER CONNECTION
PROCESSING FEE
Payment Sturman':
Operator: CKF
Permit Type
Sewer Permit
Notes:
Sewer Permit
Firm: CANNON EXCAVATING INC
Phone: (509) 467-6522
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Permit Total Fees:
Fee Amount
$85.00
$15.00
$100.00
Printed By: CKF
Print Date: 08/18/2000
Fee Amount Invoice Amount
$10000
$100 00
$100.00
Amount Paid
$0 00
$100.00 $0.00
Amount Owing
$100.00
$100 00