2001, 10-18 Permit App: 01009257 SewerProject Number: 01009257 Invi 1
Application
Date: 10/18/2001 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 - ARGONNE Contact: GOBER & SON
Address: 11215 E TRENT AVE
C - S - Z: SPOKANE, WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509) 924-5372
Group Name:
Site Information: Project Name:
Plat Key: 002357 Name: SHANNON ACRES SUB District:
Parcel Number: 45083.0113 Block:
SiteAddress: 9505 E SHANNON AVE
SPOKANE, WA 99206
Location:: SPO
Zoning: AGSUB
Water District:
Area: 15,000 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Lot:
Owner: Name: HOFFMAN
Address: 9505 E SHANNON AVE
SPOKANE, WA 99206
Hold: El
Depth: 0 Right Of Way (ft): 0
Review
Road Obstruction
Permits:
o Sim 07 I
Sewer Connection Permit
. • . •.... •••
Contractor: GOBER & SON & SON Firm: GOBER & SON & SON
Address: 11215 E TRENT Phone: (509) 924-5372
SPOKANE, WA 99206-4696
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: 10/18/2001
Project Number: 01009257 Inv: 1 Application ,
.Date: 10/18/2001 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Permit Type Fee Amount Invoice Amount
Sewer Connection Permit
$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: RMB Printed By: RMB
Print Date: 10/18/2001