2002, 06-24 Permit App: 02005116 SewerProject Number: 02005116 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date' 6/24/2002 Page 1 of 2
Project Information:
Permit Use: SEWER CONNECTION - W. VALLEY Contact: ARDEEV, EUGENY
Address: 7821 E NORA AVE
C - S - Z: SPOKANE, WA 99212
Setbacks: Front Left Right: Rear: Phone: (509) 922-3625
Group Name:
Site InfOrmationl Project Name:
Plat Key: CONV Name: CONVERTED CNTY DATA District: E
Parcel Number: 45073.08111
Block: Lot.
SitcAddress. 7821 E NORA AVE
SPOKANE, WA 99212
Location.. SPO
Zoning. UNK
Water District
Arca: 10,500 Sy Ft
Nbr of Bldgs 1)
Review Information:
Owner: Name: ARDEEV, EUGENY
Address: 7821 E NORA AVE
SPOKANE, WA 99212
Hold: ❑
Width: 75 Depth' 140 Right Of Way (ft): 0
Nbr of Dwellings: 0
Review
Review by Utilities
Permits:
,Z4 02.
itelcased By: '`J�• u �rt SYS '
Contractor. OWNER
Item Description
SEWER CONNECTION
PROCESSING FEE
Server Connection Permit
Firm: OWNER
Phone
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Operator R!\IB Printed BY: RMB
Fee Amount
$85.01)
515.00
Permit Total Fees: $100.01)
Print Date. 6/24/2002
Project Number: 02005116 lnv: 1
Notes:
` r
A4aplication
Date: 6/24/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary:
Permit Type
Sewer Connection Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$100.00 $100 00 $0.00 $100.00
$100.00 $100.00
$0.00 $100.00
Disclaimer:
Submittal of this application certifies the owner (or person(%) 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 he 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: 6/24/2002