2002, 07-01 Permit App: 02005440 SewerProject Number: 02005440 Inv: 1
- Application
THIS IS NOT A PERMIT
Date: 7/1/02 Page 1 of 1
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION - VALLEY VISTA Contact: INLAND EXCAVATING & CONSTRUCTI
Address: 3417 W OLSON RD
C - S - Z: DEER PARK, WA 99006
Setbacks: Front Left: Right: Rear: Phone: (509) 276-8500
Group Name:
Site Information: Project Name:
Plat Key: 000000 Name: UNKNOWN
Parcel Number: 45174.0104 Block: Lot:
SiteAddress: 710 N RAYMOND RD
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
District: F
Owner: Name: DALKE, FRANK H
Address: 710 N RAYMOND RD
SPOKANE, WA 99206-3849
Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: ,.;
Permits:
Sewer Connection Permit
Contractor: INLAND EXCAVATING & CONST Firm: INLAND EXCAVATING & CONST
Address: 3417 W OLSON RD Phone: (509) 276-8500
DEER PARK, WA 99006
Item Description
SEWER CONNECTION
PROCESSING FEE
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Notes: ,"
Payment Summary:��..
Permit Type
Sewer Connection Permit
Fee Amount
$100.00
$100.00
Permit Total Fees:
Invoice Amount
$100.00
Fee Amount
$85.00
$15.00
$100.00
Amount Paid Amount Owing
$0.00 $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:
6.2.sAxics3( -j-oz
Operator: JAS
Printed By: Print Date: