2002, 06-20 Permit App: 02004978 SewerProject Number: 02004978 Inv: I
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Application
Date: 6/20/02 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 - EAS'I'ON Contact: VIETZKE EXCAVATING
Address: 2011 S CRAIG RD
C - S - Z. AIRWAY HEIGHTS, WA 99001
Setbacks: Front Left: Right: Rear: Phone: (509) 244-9607
Group Name:
Site Information: Project Name.
Plat Key. 000008 Name: ACKEIt%IANS ADDITION
Parcel Number: 45084.0701
District: F
Block: Lot:
SiteAddress: 10410 E NORA AVE
SPOKANE, WA 99206
Location:: SPO
Zoning: AGSUB
Water District:
Owner: Name: CLEVELAND, JACKIE
Address: 10410 E NORA AVE
SPOKANE, WA 99206
hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction
0 v36BO5o6
Permits:
Released By:
o-oZ
Sewer Connection Penn it
Contractor: VIETZKE EXCAVATING Firni. VIE'I'ZKE EXCAVATING
Address: 2011 5 CRAIG RD #1
AIRWAY HEIGHTS, WA 99001
Item Description
SEWER CONNECTION
PROCESSING FEE
Phone: (509) 244-9607
Units Unit Desc
I NUMBER OF
1 }' OR BLANK
Operator CKF Printed By CKF
Fee Amount
$85.00
$15.00
Permit Total Fees: $100.00
Print Date: 6/20/02
Project Number: 02004978 Inv: 1
1
t
Application
Date. 6/20/02 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes• , - -
Payment Summary: ,
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Sewer Connection Permit $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(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 CKF Printed By: CKF
Print Date: 6/20/02