2001, 09-04 Permit App: 01007513 SewerT �
Project Number: 01007513 Inv: 1 w �' application Date: 9/4/2001 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Aviect Information:
Parcel Number: 45181.0517 Block: Lot:
SiteAddress: 1415 N SARGENT RD
SPOKANE, WA 99212
Location:: SPO
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: 0 Sq Ft Width: 90
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review ew Inf ormatt
on:
Department
ENGINEER
Hold Reasons:
Review
Road Obstruction
Permit Conditions: eI�5%
Owner: Name: ASPEBAKKEN, IVAR
Address: 1415 N SARGENT RD
SPOKANE, WA 99212
Hold: ❑
Depth: 128 Right Of Way (ft): 0
Item Description
Units
Unit Desc
Fee Amount
WATER PIPING - DWV
1
NUMBER OF
$6.00
PROCESSING FEE
1
Y OR BLANK
$25.00
MQN v M FEE ADJUSTMENT
1
Select
$4.00
Permit Total Fees:
$35.00
1
Project Number: 01007513 Inv: 1 Applw� i:i__ a Date: 9/4/2001
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Sewer Connection Permit
Contractor: COURCHAINE CONSTRUCTION Firm: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE AVE Phone: (509) 928-0846
GREENACRES, WA 99016
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
Pavment Summa
Page 2 of 2
$135.00 $135.00 $0.00 $135.00
Notes:;;;;;;;;;;;;;;;;;;;:;; ;;;;;;;;;;;;;: ;:;;:;:.;>;:.;;:.;::;:;;;;;;;;;;;;;;;:;;>:;;;;;;;;;;;;>;;;;;:;<_;;:.;;;;;;:;;