2002, 04-22 Permit App: 02002856 SewerProject Number: 02002856 Inv: I
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION - S PONDEROSA Contact: VISTA CONSTRUCTION & DEV
Address: 3420 N. TSCHIRLEY RI)
C - S - Z: SPOKANE, WA 99216
Setbacks: Front Left: Right: Rear: Phone: (509) 926-2243
Group Name:
Site Information: Project Name.
Date 4/22/02 Page 1 of 2
Plat Key: 003264 Name: SP -042
District: E
Parcel Number 44042.9075
Block: Lot:
SiteAddress: 11320 E PONDEROSA DR
SPOKANE, WA 99206
Location:: SPO
Zoning: AG
Nater Distract
Owner: Name: PLANT, PETE
Addicss: 11320 E PONDEROSA 1)12
SPOKANE, WA 99206
Hold: ❑
Area: 0 Sq Ft Width: 0 Depth 0 Right Of \Vay (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction
Released By: �� T �a—oa
dries 9109
Permits:
Server Connection Ptrwit
Contractor: VISTA CONSTRUCTION & Firm: VISTA CONSTRUCTION & DEV
Address 3420 N TSCHIRLEY RD #1 Phone: (509) 926-2243
SI'OKANE, WA 99216
Item Desci iption
SEWER CONNECTION
PROCESSING FEE
Units Unit Dcsc
1 NUMBER OF
1 \' OR BLANK
Operator: CKF Printed By: CKF
Fee Amount
$55.00
$15.00
Permit Total Fees: $100.00
Print Date: 4/22/02
Project Number: 02002856 Inv: I
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/22/02 Page 2 of 2
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(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 Dale: 4/22/02