2000, 04-27 Permit App: 99008560 SewerProject Number: 99008560 Inv: 1
-.J
Application Date: 9/14/99
PP Ism 4 7.
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work 14o
Project Information:
Permit Use: SEWER CONNECTION - SHELLEY LAKE
Setbacks: Front Left:
Right: Rear:
1
1
Contact: LANZCE DOUGLASS INC
Address: 815 E ROSEWOOD AVE
C - S - Z SPOKANE WA 99208
Phone: (509) 483-6532
Site Information: • : : owszos.: ":,x`>:sst>`;m::<>::'::>`
Plat Key: 005862 Name: SHELLEY LAKE District: F
Parcel Number: 45242.1505
SiteAddress: 504 S SONORA LN
VERADALE, WA USA 9903
Location:: VER
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: 8,751 Sq Ft
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Width: 70
Review Information:
Owner: Name: LANZCE DOUGLASS INC
Address: 815 E ROSEWOOD AVE
SPOKANE, WA 99208
Hold: ❑
Depth: 135 Right Of Way (ft): 30
Department, Review
UTILITIES Review by Utilities
Permits:
Comments:
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Sewer Permit
Firm: LANZCE G DOUGLASS, INC
Phone: (509) 483-6532
Contractor: LANZCE G DOUGLASS, INC
Address: 815 E ROSEWOOD AVE
SPOKANE, WA 99208
Item Description
SEWER CONNECTION
PROCESSING FEE
Payment Summary:
Operator: RMB
Permit Type
Sewer Permit $100.00 $100.00
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Fee Amount
$85.00
$15.00
Permit Total Fees: $100.00
Printed By: RMB Print Date: 9/14/99
Fee Amount Invoice Amount Amount Paid Amount Owing
$0.00 $100.00
Notes:
$100.00 $100.00 $0.00 $100.00
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OCCUPANCY IS DENIED ON ALL LOTS UNTIL FURTHER NOTICE FROM DIV. OF
UTILITIES PER GENE REPP 3/26/97 CKF OK TO ISSUE SEWER PERMITS FOR: BLOCK 2 -
LOTS 3 THROUGH 10 & 1, 2 BLOCK 3 - LOTS 1 THROUGH 7 BLOCK 4 - LOTS 1
THROUGH 4 BLOCK 5 - LOTS 2 THROUGH
6 & 19 BLOCK 6 - LOTS 1 THROUGH 10
•
Spokane Co1nty7tivision of Utilities
SEWER CONNECTION PERMIT
APPLICATION FORM
PLEASE NOTE: This application form must be filled out accurately and m its entirety, and signed, or a permit will not be issued
Also note that sewer permits are valid for 12 months from the date of issuance. No extensions will be granted.
PROJECT INFORMATION
Job address:
City: Spokang WA
Zip:
Parcel number(ifkaown):
Dry Line
Sewer? (Y/N)
Owner's name:
Lanzce G. Douglass, Inc.
City/State: Spokane , WA
Zip: gq7nl
Phone:
509-483-6532
First-time contractors or home -owners performing the installation must first contact the utilities department (in person or via phone
[456-3604]) before a permit can be issued
Name of Utilities Division person contacted:
CONTRACTOR INFORMATION
Contractor (company name):
Boies Excavating
State contractor license number
BOIESE099KB
Business address:
P n hnn 9fi CnlhPrt 99005
City/State: olbert . WA
Zip: 9 90 05 Phone;--- 5 0 9 -
Contact Name:
Jeff Boies
Phone:
INTERIOR PLUMBING ALTERATIONS? (yes/no) thr.bm,
Fill out the information in the table below if applicable"*
Contractor (if different from above): Phone:
Business Address: City/State/Zip:
•:.: **Forplumlimg7"EVerStir lisforrnalu revers m
FEE INFORMATION
Sewer Connection: Number of Buildings X(tj,) $100 (per bldg) _ $
TOTAL FEE
• For a single-family residential unit, one permit is required
• For a condominium, townhouse, duplex, triplex or fourplex with separate ownership (as determined by lot lines) separate
address and separate stub, one permit is required per address per stub;
• For a single building duplex, triplex or fourplcc with single ownership, one permit is required
• Multiple buildings (apartments, industrial complexes) with single ownership, one permit required per building connecting to
the sewer.
(For situations not covered here, call the County Division of Util,ri-v ® 456-3604)
Date:
Ream m:
Spoleasro Casary Diritro r of Bailin er Plowing
Wert 1026 &mdaery AVOWS * Spokane, radiates" 99260
PHONE (509) 456-3675 ' FAX (509) 324-3198 *TDD: (509) 324-3166
Spann. Cowq do.. not d.. Uaool. on a,. b.a. of &nimbly in die damson m, .. aonanet of amosioyeirst mu +s p.¢amo o, annum