2002, 06-07 Permit App: 02004569 Sewer x T
Project Number: 02004569 Inv: 1 Application Date: 6/7/02 Page 1 of 2
THISTS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project In formation:
Permit Use: SEWER CONNECTION-EASTON 1 Contact: HULTQUIST CONSTRUCTION
Address: 14516 N FREYA
C- S -Z: MEAD,WA 99021
Setbacks: Front Left: Right: Rear: Phone: (509)994-0080
Group Name:
Site Information: Project Name:
Plat Key: 001853 Name: OPPORTUNITY PLAT#2 District: H
Parcel Number: 45084.0452 Block: Lot:
SiteAddress: 1617 N UNIVERSITY RD Owner: Name: SPRAGUE,ALAN
SPOKANE,WA 99206 Address: 1617 N UNIVERSITY RD
Location::SPO SPOKANE,WA 99206
Zoning: UR3.5
Water District: Hold: ❑
Area: 32,640 Sq Ft Width: 136 Depth: 240 Right Of Way(ft): 50
Nbr of Bldgs: 3 Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction Released BQ-63Th ICI I
Permits:
- — Sewer Connection Permit
Contractor: HULTQUIST CONSTRUCTION Firm: HULTQUIST CONSTRUCTION
Address: 14516 N FREYA RD Phone: (509)468-0216
MEAD,WA 99021
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: 6/7/02
Project Number: 02004569 Inv: 1 Application Date: 6/7/02 Page 2 of 2
THIS IS NOT A P .RMIT
Penalties will be assessed for commencing work without a permit
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owine
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: 6/7/02