2001, 08-27 Permit App: 01007275 Sewer Project Number: 01007275 Inv: 1 Application Date: 8/27/01 Page 1 of 1
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION-SOUTH PONDEROSA Contact: SHORT SEPTIC SERVICE INC
Address: 3350 WILLIAMS RD E
C-S-Z: ALMIRA WA 99103
Setbacks:Front Left: Right: Rear: Phone: (509)639-2393
Group Name:
Site Information Project Name:
Plat Key: 000000 Name: UNKNOWN District: F
Parcel Number: 44042.0507 Block: Lot:
SiteAddress: 4527 S SKIPWORTH RD Owner:Name: MCFARLANE,DAN
SPOKANE,WA USA 99216 Address: 4527 S SKIPWORTH
Location::SPO SPOKANE WA 99216
Zoning: UNKN Unknown
Water District: Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: oa,a,a vt,Ap .,. w epos ====“,spm=-- === w ).c-
Department Review
ENGINEER Road ObstructionReleased,By.
Hold Reasons: 1
Permit Conditions: Q I S LZ)SSE
Permits: ..._. , =.
Sewer Connection Permit
Contractor: SHORT SEPTIC SERVICE INC Firm: SHORT SEPTIC SERVICE INC
Address: 3350 WILLIAMS RD E Phone: (509)639-2393
ALMIRA WA 99103
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
Payment Summary ._._ ��, r Pgra," . ..f.. _... .-
Operator: JAS Printed By: JAS Print Date: 8/27/01
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