Loading...
2002, 05-01 Permit App: 02003200 SewerProject Number: 02003200 Inv: 1 _ Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/1/2002 Project Information: ............................................ Permit Use: SEWER CONNECTION - CRESTIVEW Setbacks: Front Left: Right: Rear: Site Information: ........................................................................................ ....................................................................................... Plat Key: 000547 Name: CREST VIEW TERRACE Page 1 of 2 Contact: HAYDEN ENTERPRISES Address: 3327 W INDIAN TRAIL RD #232 C - S - Z: SPOKANE, WA 99208 Phone: (509) 994-4691 Group Name: Project Name: District: H Parcel Number: 45263.0314 Block: 1 SiteAddress: 2409 S REES LN SPOKANE, WA USA 99206 Location:: SPO Zoning: UR -7 Water District: Area: 4,500 Sq Ft Nbr of Bldgs: 1 Review Information: Urban Residential -7 Lot: 2 Owner: Name: Address: HAYDEN HOMES 3327 W INDIAN TRAIL RD #232 SPOKANE, WA 99208 Hold: ❑ Width: 40 Depth: 90 Right Of Way (ft): 30 Nbr of Dwellings: 1 Review Review by Utilities Permits: Released By Contractor: NORM'S EXCAVATING Address: PO BOX 574 VERADALE, WA 99037 Sewer Connection Permit Firm: NORM'S BOBCAT SERVICE Phone: (509) 928-0580 Item Description Units Unit Desc SEWER CONNECTION 1 NUMBER OF PROCESSING FEE 1 Y OR BLANK Operator: RMB Printed By: RMB Permit Total Fees: Print Date: Fee Amount $85.00 $15.00 $100.00 5/1/2002 Project Number: 02003200 Inv: 1 Notes: Payment Summary: :::..... ....... Permit Type Sewer Connection Permit Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/1/2002 Page 2 of 2 Fee Amount Invoice Amount Amount Paid Amount Owing $0.00 $100.00 $100.00 $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 fmds 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: 5/1/2002