2002, 07-18 Permit App: 02006067 SewerProject Number: 02006067 Inv: 1
•Applic ion `
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 7/18/02 Page 1 of 2
Project Information:tt«-
.<>
Permit Use: SEWER CONNECTION - EASTON Contact: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE
C - S - Z: GREENACRES, WA 99016
Setbacks: Front Left: Right: Rear: Phone: (509) 924-5485
Site Information:
Group Name:
Project Name:
Plat Key: 000000 Name: UNKNOWN
Parcel Number: 45174.2807 Block: Lot:
SiteAddress: 713 N UNIVERSITY RD
Spokane, WA USA 99206
Location:: SPO
Zoning: UNKN Unknown
Water District: 999 UNKNOWN
Area: 13,900 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Road Obstruction
Permits:
District: F
Owner: Name: BURNETT, RUTH
Address: 713 N UNIVERSITY RI)
SPOKANE, WA 99206-5051
Hold: ❑
Depth: 0 Right Of Way (ft): 0
kwy
i
Sewer Connection Permit
Contractor: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE AVE
GREENACRES, WA 99016
Firm: COURCHAINE CONSTRUCTION
Phone: (509) 928-0846
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: JAS Printed By: JAS Print Date: 7/18/02
Project Number: 02006067 Inv: 1
Application
Date: 7/18/02 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
Payment Summary
Permit Type
Sewer Connection Permit
Fee Amount Invoice Amount
$100.00
$100.00
$100.00
$100.00
IMMOMMILWANGVAIMMIKUEMSON,
Amount Paid
$0.00
$0.00
Amount Owing
$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 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: 7/18/02