2000, 11-28 Permit App: 00010784 Sewer Project Number: 00010784 Inv: 1 Application Date: 11/28/2000 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-PONDEROSA Contact: WALDORF CONSTRUCTION
Address: PO BOX 840
C-S-Z: NEWMAN LAKE,WA 99025
Setbacks: Front Left: Right: Rear: Phone: (509)226-2055
Group Name:
Site Information: Project Name:
Plat Key: 001737 Name: MYRON ESTATES#2 District: F
Parcel Number: 44042.0207 Block: Lot:
SiteAddress: 4407 S SKIPWORTH ST Owner:Name: LOSELL,JOHN
SPOKANE,WA 99206 Address: 4407 S SKIPWORTH ST
Location::SPO SPOKANE,WA 99206
Zoning: SFR
Water District: Hold: ❑
Area: 10,400 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: .,, � : . ,w
Department Review
ENGINEER Road Obstruction Released By: l ( `� l.
Hold Reasons:
Permit Conditions: CD cS
Permits: , ob .
Sewer Permit
Contractor: WALDORF CONSTRUCTION Firm: RICHARD WALDORF/WALDORF
Address: PO BOX 840 Phone: (509)226-0880
NEWMAN LAKE,WA 99025
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:
Operator: CKF Printed By: CKF Print Date: 11/28/2000
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Sewer Permit $100.00 $100.00 $0.00 $100.00
$100.00 $100.00 $0.00 $100.00
Notes: „