2002, 01-18 Permit App: 02000322 SewerProject Number: 02000322 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Permit Use: DRYLINE SEWER CONNECTION / SP -1267-01
Date: 1/18/02 Page 1 of 2
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: 11718 E SINTO AVE
SPOKANE, WA USA 99206
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: 18,671 Sq Ft Width: 100
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Review by Utilities
Lot: C
Owner: Name: GORDON CURRY
Address: 14313 E TRENT AVE
SPOKANE, WA 99216
Hold: ❑
Depth: 186 Right Of Way (ft): 30
Permits:
Ort-. To 1s.�t� ` D `c -L 1�-e
Contractor: ROGER GIDDING
Address: 11812 E BIGELOW GULCH RD
SPOKANE, WA 99207
Item Description
SEWER CONNECTION
PROCESSING FEE
Sewer Connection Permit
Firm: ROGER GIDDINGS EXCAVATION
Phone: (509) 922-5907
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Operator: CKF Printed By: CKF
Permit Total Fees:
Fee Amount
$85.00
$15.00
$100.00
Print Date: 1/18/02
Project Number: 02000322 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: ..h
Payment Summary:
Permit Type
Sewer Connection Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$100.00 $100.00 $0.00 $100.00
$100.00 $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