2002, 08-26 Permit App: 02007320 SewerProject Number: 02007320 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/26/02 Page 1 of 2
Project Information:
Permit Use: SEWER CONNECTION - S PONDEROSA Contact: SHORT SEPTIC SERVICE INC
Address: 3350 WILLIAMS RD E
C - S - Z: ALMIRA WA 99103
Setbacks: Front Left: Right: Rear: Phone: (509) 639-2393
Group Name:
Site Information: Project Name:
Plat Key: CONV Name: CONVERTED CNTY DATA
Parcel Number: 45333.1002 Block:
SiteAddress: 11117 E SUNDOWN DR
SPOKANE, WA 99206
Location:: SPO
Zoning: SFR
Water District:
District:
F
Lot:
Owner: Name: ANDERSON, NORM
Address: 11117 E SUNDOWN DR
SPOKANE, WA 99206
Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction
Permits:
2.S -O -2l
Contractor: SHORT SEPTIC SERVICE INC
Address: 3350 WILLIAMS RD E
ALMIRA WA 99103
Released By:
Sewer Connection Permit
Firm: SHORT SEPTIC SERVICE INC
Phone: (509) 639-2393
Item Description Units Unit Desc Fee Amount
SEWER CONNECTION 1 NUMBER OF $85.00
PROCESSING FEE 1 Y OR BLANK $15.00
Operator: CKF Printed By: CKF
Permit Total Fees: $100.00
Print Date: 8/26/02
Project Number: 02007320 Inv: 1
Notes:
Application
Date: 8/26/02 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary:
Permit Type
Sewer Connection Permit
zatemoug
Fee Amount Invoice Amount Amount Paid Amount Owing
$0.00 $100.00
$100.00 $100.00 $ 0.00 $100.00
$100.00 $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 construed 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: 8/26/02