2002, 01-18 Permit App: 02000331 Sewer a '
Project Number: 02000331 Inv: 1 Application Date: 1/18/2002 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: H & S CONSTRUCTION
Address: 11817 E.VALLEYWAY AVE
C -S-Z: SPOKANE WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509)926-8964
Group Name:
Site Information: Project Name:
Plat Key: 001835 Name: OPP.TR. 1-354 District: F
Parcel Number: 45171.1302 Block: Lot:
SiteAddress: 1111 N UNIVERSITY RD Owner: Name: ROBERTS,JUANITA
SPOKANE,WA 99206 Address: 1111 N UNIVERSITY RD
Location::SPO SPOKANE,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 40
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review / Q
Road Obstruction Released By: .. I". "e>1
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Sewer Connection Permit
Contractor: H & S CONSTRUCTION Firm: H & S CONSTRUCTION
Address: 11817 E VALLEYWAY AVE Phone: (509)926-8964
SPOKANE,WA 99206
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: DMD Printed By: DMD Print Date: 1/18/2002
Project Number: 02000331 Inv: 1 Application Date: 1/18/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
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: 1/18/2002