2001, 03-16 Permit App: 01001512 Sewer .1
Project Number: 01001512 Inv: 1 Application Date: 3/16/01 Page 1 of 1
THIS IS NOT,A PIERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION-EASTON 2 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: CONV Name: CONVERTED CNTY DATA District: E
Parcel Number: 45162.0921 Block: Lot:
SiteAddress: 1017 N SKIPWORTH RD Owner:Name: LOECH,JERRY
SPOKANE,WA 99206 Address: 1017 N SKIPWORTH RD
Location::SPO SPOKANE,WA 99206
Zoning: UNKN Unknown
Water District: Hold: ❑
Area: 0 Sq Ft Width: 70 Depth: 127 Right Of Way(ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review In ormation:
Department Review
ENGINEER Road Obstruction Released By:
Hold Reasons:
Permit Conditions: l S d T t1
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: 3/16/01
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: