2001, 06-18 Permit App: 01004768 SewerProject Number: 01004768 Inv: 1
u
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/18/2001 Page 1 of 1
Project Information:
Permit Use: SEWER CONNECTION - EASTON 2 Contact: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE
C - S - Z: GREENACRES, WA 99216
Setbacks: Front Left: Right: Rear: Phone: (509) 924-5485
Group Name:
Site Information: Project Name: . . . . . . . .
Plat Key: 001834 Name: OPP.TR. 1-354 District:
Parcel Number: 45163.0203 Block:
SiteAddress: 10709 E VALLEY WAY
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UNKN Unknown
Water District:
Area: 11,700 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Lot:
Owner: Name: DERRICKSON, A/LABELLA, G
Address: 10709 E VALLEYWAY AVE
SPOKANE, WA 99206-5053
Hold: El
Depth: 0 Right Of Way (ft): 0
Department Review
ENGINEER Road Obstruction
Hold Reasons:
Permit Conditions: e is.x.P.soo
I, Released By.
Sewer Permit
Contractor: COURCHAINE CONSTRUCTION Firm: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE AVE Phone: (509) 928-0846
GREENACRES, WA 99016
Item Description
SEWER CONNECTION
PROCESSING FEE
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Operator: RMB Printed By: MKC
Permit Type
Sewer Permit
Fee Amount
$85.00
$15.00
Permit Total Fees: $100.00
Print Date: 6/18/2001
Fee Amount Invoice Amount
$100.00 $100.00
Amount Paid
$0.00
Amount Owing
$100.00
$100.00 $100.00 $0.00 $100.00