Loading...
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