2002, 04-30 Permit App: 02003145 Sewer Project Number: 02003145 Inv: 1 t lication Date: 4/30/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION-EASTON Contact: ZUBER CONSTRUCTION
Address: 26327 E MISSION
C - S -Z: LIBERTY LAKE,WA 99019
Setbacks: Front Left: Right: Rear: Phone: (509)926-3777
Group Name:
Site Information: Project Name:
Plat Key: 000000 Name: UNKNOWN District: F
Parcel Number: 45163.0185 Block: Lot:
SiteAddress: 11223 E SPRINGFIELD AVE Owner: Name: LLOYD,JON E
SPOKANE,WA USA 00000 Address: 13107 E 25TH AVE
Location:: SPO SPOKANE,WA 99216-2516
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 9,100 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Road Obstruction Released By: //5 )b •
o KJ30o_
Review by Utilities Released By:
Permits:
Sewer Connection Permit -
Contractor: ZUBER CONSTRUCTION Firm: ZUBER CONSTRUCTION
Address: 26327 E MISSION Phone: (509) 926-3777
LIBERTY LAKE,WA 99019
Item Description Units Unit Desc Fee Amount
SEWER CONNECTION I NUMBER OF $85.00
PROCESSING FEE 1 Y OR BLANK $15.00
Permit Total Fees: $100.00
Operator: DMD Printed By: DMD Print Date: 4/30/2002
Project Number: 02003145 Inv: 1 Appilcation Date: 4/30/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
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: DMD Printed By: DMD Print Date: 4/30/2002