2001, 09-20 Permit App: 01008152 SewerProject Number: 01008152 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 9/20/01 Page 1 of 1
Project Information:
Permit Use: SEWER CONNECTION - VALLEY VISTA
Setbacks: Front
Site Information:
Plat Key: 001497 Name: LOCKWOOD HEIGHTS SUB OF TR.28 OPP
Left: Right: Rear:
Contact: INLAND EXCAVATING & CONSTRUCTI
Address: 3417 W OLSON RD
C - S - Z: DEER PARK, WA 99006
Phone: (509) 276-8500
Group Name:
Project Name:
District: F
Parcel Number: 45171.0338
Block: 1
Lot: 3-4
SiteAddress: 10603 E SINTO AVE Owner: Name: WYCOFF, ERICK J
SPOKANE, WA USA 00000 Address: 4703 N EVA ST
Location:: SPO OTIS ORCHARDS, WA 99027
Zoning: UNKN Unknown
Water District:
Area: 17,844 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Department
ENGINEER
Hold Reasons:
Permit Conditions:
Review
Road Obstruction
a�Sr1�/c Co 3e
Permits:
Sewer Connection Permit
Contractor: INLAND EXCAVATING & CONST Firm: INLAND EXCAVATING & CONST
Address: 3417 W OLSON RD Phone: (509) 276-8500
DEER PARK, WA 99006
Item Description
SEWER CONNECTION
PROCESSING FEE
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Fee Amount
$85.00
$15.00
Permit Total Fees: $100.00
Payment Summary:
Operator: CKF Printed By: CKF Print Date: 9/20/01
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
Notes: