2002, 04-09 Permit App: 02002386 Sewer Project Number: 02002386 Inv: I Anrlication Date: 4/9/2002 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-EASTON 1 Contact: ALLIED SEWER&BORING
Address: 9317 S FREEMAN DR
C - S -Z: MEDICAL LAKE,WA 99022
Setbacks: Front Left: Right: Rear: Phone: (509)924-8508
Group Name:
Site Information: Project Name:
Plat Key: CONY Name: CONVERTED CNTY DATA District: F
Parcel Number: 45084.0474 Block: Lot:
SiteAddress: 1809 N RAYMOND RD Owner: Name: WYLAND
SPOKANE,WA 99206 Address: 1809 N RAYMOND RD
Location::SPO SPOKANE,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 8,704 Sq Ft Width: 68 Depth: 128 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 1000
Review Information:
Review
Road Obstruction Released By: O 4-1 -9-0d...
Sewer Connection Permit
Contractor: ALLIED SEWER BORING Firm: ALLIED SEWER BORING COMPA
Address: 9317 S FREEMAN DR Phone: (509)924-8508
MEDICAL LAKE,WA 99022
Item Description Units Unit Desc Fee Amount
SEWER CONNECTION 1 NUMBER OF $85.00
PROCESSING FEE 1 Y OR BLANK $15.00
Permit Total Fees: $100.00
Operator: RMB Printed By: RMB Print Date: 4/9/2002
Project Number: 02002386 Inv: 1 Application Date: 4/9/2002 Page 2 of 2
THIS IS N0tA 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: RMB Printed By: RMB Print Date: 4/9/2002