2002, 07-19 Permit App: 02006084 SewerProject Number: 02006084 Inv: 1
Application
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THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/19/2002 Page 1 of 2
Project Information:
Permit Use: SEWER CONNECTION - APPLE VALLEY
Setbacks: Front
Left: Right: Rear:
Site Information:
...............................................
..............................................
Plat Key: 999999 Name: RANGE
........................................................ .
Contact: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE
C - S - Z: GREENACRES, WA 99016
Phone: (509) 924-5485
Group Name:
Project Name:
District:
Parcel Number: 45213.9062
Block:
SiteAddress: 1222 S PIERCE RD
SPOKANE, WA 99206
Location:: SPO
Zoning: UR -3.5
Water District
Urban Residential 3.5
Area: 39,000 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:::........................................................... _ ...
Lot:
Owner: Name:
Address:
WRIGHT, RANDY
1222 S PIERCE RD
SPOKANE, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Road Obstruction
Permits:
n2 lD 51C -
Sewer Connection Permit
Contractor: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE AVE
GREENACRES, WA 99016
Item Description
SEWER CONNECTION
PROCESSING FEE
Firm: COURCHAINE CONSTRUCTION
Phone:
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Operator: DMD Printed By: DMD
Permit Total Fees:
(509) 928-0846
Fee Amount
$85.00
$15.00
$100.00
Print Date: 7/19/2002
Project Number: 02006084
Inv: 1
- Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/19/2002 Page 2 of 2
Notes: :.
Payment Summary:
...............
Permit Type
Sewer Connection Permit
Fee Amount Invoice Amount
$100.00 $100.00
$100.00 $100.00
Amount Paid Amount Owing
$0.00 $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: DMD Printed By: DMD
Print Date: 7/19/2002