2002, 01-18 Permit App: 02000321 SewerProject Number: 02000321 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/18/02 Page 1 of 2
Project Information:
Permit Use: DRYLINE SEWER CONNECTION / SP -1267-01
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: 006193 Name: SP -1267-01
Contact: ROGER GIDDINGS EXCAVATION
Address: 11812 E. BIGELOW GULCH
C - S - Z: SPOKANE, WA. 99217
Phone: (509) 922-5907
Group Name:
Project Name:
District:
F
Parcel Number: 45161.0638PTN Block:
SiteAddress: 11716 E SINTO AVE
SPOKANE, WA USA 99206
Location:: SPO
Zoning: UR -3.5 Urban Residential 3.5
Water District: 011 MODERN
Area: 17,723 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Review by Utilities
Permits:
Lot: B
Owner: Name: CURRY, GORDON
Address: 14313 E TRENT
SPOKANE, WA 99216
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Oleio1 e --LL
V fL-v.t..t NC +' YE.g-M
Contractor: ROGER GIDDING
Address: 11812 E BIGELOW GULCH RD
SPOKANE, WA 99207
Sewer Connection Permit
Finn: ROGER GIDDINGS EXCAVATION
Phone: (509) 922-5907
Item Description Units Unit Desc Fee Amount
SEWER CONNECTION 1 NUMBER OF $85.00
PROCESSING FEE 1 Y OR BLANK $15.00
Operator: CKF Printed By: CKF
Permit Total Fees: $100.00
Print Date: 1/18/02
Project Number: 02000321 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 1/18/02 Page 2 of 2
Notes:
Payment Summarv:
Permit Type
Sewer Connection Permit
Fee Amount Invoice Amount
$100.00 $100.00
$100.00 $100.00
Amount Paid
$0.00
Amount Owing
$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: CKF Printed By: CKF
Print Date: 1/18/02