2002, 02-15 Permit App: 02000933 Sewer r `
Project Number: 02000933 Inv: 1 4. 4 Application Date: 2/15/02 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-RIDGEMONT EST#3- Contact: PARAS CONSTRUCTION IN
1ST ADDITION Address: 3124 S REGAL#160
C-S -Z: SPOKANE,WA 99223
Setbacks: Front Left: Right: Rear: Phone: (509)535-8377
Group Name:
Site Information: Project Name:
Plat Key: 006150 Name: RIDGEMONT ESTATES NO.3-1ST ADD District: G
Parcel Number: 45251.9080 Block: 2 Lot: 6
SiteAddress: 1911 S STEEN RD Owner: Name: PARAS CONSTRUCTION IN
VERADALE,WA USA 99037 Address: 3124 S REGAL#160
Location::VER SPOKANE,WA 99223
Zoning: SR-1 Suburban Residential 1
Water District: 999 UNKNOWN Hold: ❑
Area: 1,126.00 Acres Width: 100 Depth: 201 Right Of Way(ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Review by Utilities Released By:
Permits:
Sewer Connection Permit
Contractor: FOLSOM EXCAVATING INC Firm: FOLSOM EXCAVATING
Address: 16701 E VALLEYWAY AVE Phone: (509)891-1232
VERADALE,WA 99037
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
Operator: CKF Printed By: CKF Print Date: 2/15/02
Project Number: 02000933 Inv: 1 Application Date: 2/15/02 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: CKF Printed By: CKF Print Date: 2/15/02