2002, 02-21 Permit App: 02001070 SewerProject Number: 02001070
Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/21/02 Page 1 of 2
Project Information:
Permit Use: SEWER CONNECTION - SOUTH PONDEROSA
Setbacks: Front
Site Information:
Left: Right: Rear:
StMELMCW
Plat Key: 000875 Name:
FOREST MEADOW ADD
,VWWWW ORES. -
Contact: INLAND EMPIRE EXCAVATION
Address: 10211 E. DRIFTWOOD
C - S - Z: SPOKANE, WA 99206
Phone: (509) 891-1586
Group Name:
Project Name:
District:
F
Parcel Number: 45333.0510
Block:
SiteAddress: 4138 S SUNDOWN DR
SPOKANE, WA 99206
Location:: SPO
Zoning: UNKN
Water District:
Unknown
Area: 0 Sq Ft Width: 105
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction
cap-,s/AS/
Lot:
Owner: Name: ENGLES, SCOTT
Address: 4138 S SUNDOWN DR
SPOKANE, WA 99206
Hold: ❑
Depth: 257 Right Of Way (ft): 60
Released By:
Permits:, }.«
Sewer Connection Permit
Contractor: INLAND EMPIRE EXCAVATION
Address: 10211 E DRIFTWOOD
SPOKANE, WA 99206
Item Description
SEWER CONNECTION
PROCESSING FEE
Firm: INLAND EMPIRE EXCAVATION I
Phone: (509) 891-1586
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Operator: JAS Printed By: JAS
Fee Amount
$85.00
$15.00
Permit Total Fees: $100.00
Print Date: 2/21/02
Project Number: 02001070 Inv: 1
Notes:
Applications
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/21/02 Page 2 of 2
Payment Summary:. . �..:
Permit Type
Sewer Connection Permit
Fee Amount Invoice Amount
$100.00 $100.00
Amount Paid
$0.00
Amount Owing
$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: JAS Printed By: JAS
Print Date: 2/21/02