2002, 05-28 Permit App: 02004134 Plumbing Fixtures, ROW, SewerProject Number: 02004134 Inv: 1
A ., li.,aiion
Date: 5/28/2002 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 - HUTCHINSON 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: 001288 Name: HUTCHINSON'S ADD
District: F
Parcel Number: 45181.0312 Block:
SiteAddress: 8704 E SINTO AVE
SPOKANE, WA 99212
Location:: SPO
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Lot:
Owner: Name: POTTER, PATRICK
Address: 8704 E SINTO AVE
SPOKANE, WA 99212
Hold: ❑
Area: 0 Sq Ft Width: 124 Depth: 200 Right Of Way (ft): 50
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction
Oaslr0��
Permits:
Released By:
Contractor: SHORT SEPTIC SERVICE INC
Address: 3350 WILLIAMS RD E
ALMIRA WA 99103
Item Description
SEWER CONNECTION
PROCESSING FEE
Sewer Connection Permit
Firm: SHORT SEPTIC SERVICE INC
Phone: (509) 639-2393
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Operator: RMB Printed By: RMB
Fee Amount
$85.00
$15.00
Permit Total Fees: $100.00
Print Date: 5/28/2002
Project Number: 02004134 Inv: 1
Application
Date: 5/28/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes: ........ .
Payment Summary::»<:;>:;;::;::;::;
Permit Type
Sewer Connection Permit
Disclaimer:
Fee Amount Invoice Amount Amount Paid Amount Owing
$100.00 $100.00 $0.00 $100.00
$100.00 $100.00 $0.00 $1
Ili
1.
00
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examine . 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: 5/28/2002