2001, 11-08 Permit App: 01009937 SewerProject Number: 01009937
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/8/01 Page 1 of 2
Project Information:
Permit Use: SEWER CONNECTION - SHELLEY LAKE
Setbacks: Front Left:
Site Information:
Right: Rear:
Plat Key: 005862 Name: SHELLEY LAKE
Contact: MCKINLEY, BRUCE
Address: 12911 E SANSON AVE
C - S - Z: SPOKANE, WA 99216
Phone: (509) 290-1047
Group Name:
Project Name:
District: F
Parcel Number: 45242.1717 Block: 7
SiteAddress: 521 S SONORA LN
VERADALE, WA USA 99037
Location:: VER
Zoning: UR -3.5
Water District:
Area: 7,633 Sq Ft
Nbr of Bldgs: 1
Urban Residential 3.5
Width: 61
Nbr of Dwellings: 1
Lot: 17
Owner: Name: MCKINLEY, BRUCE
Address: 12911 E SANSON AVE
SPOKANE, WA 99216
Hold: ❑
Depth: 115 Right Of Way (ft): 30
Review Information:
Review
Review by Utilities
Permits:
Sewer Connection Permit
Contractor: A & D CONST. & EXCAVATION
Address: 22513 E DALKE RD
OTIS ORCHARDS, WA 99027
Item Description
SEWER CONNECTION
PROCESSING FEE
Operator: CKF
Firm: A & D CONSTRUCTION
Phone: (509) 928-2621
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Printed By: CKF
Permit Total Fees:
Fee Amount
$85.00
$15.00
$100.00
Print Date: 1118101
Project Number: 01009937 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/8/01 Page 2 of 2
Notes: �M ANOMMUMMNSANIM
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
Payment Summary:
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
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: 11/8/01