2002, 07-30 Permit App: 02006441 SewerProject Number: 02006441 Inv: 1
Application
Date: 7/30/02 Page 1 of 2
THIS IS NOT A 1ERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION - EASTON 2 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: 001852 Name: OPPORTUNITY(TR.1-142INC.143-354) District: F
Parcel Number: 45163.0453
Block: Lot:
SiteAddress: 10824 E VALLEYWAY AVE
SPOKANE, WA 99206
Location:: SPO
Zoning: UNKN Unknown
Water District:
Owner: Name: VAN WAGONER, ALLEN
Address: 10824 E VALLEYWAY AVE
SPOKANE, WA 99206
Hold: ❑
Area: 0 Sq Ft Width: 66 Depth: 146 Right Of Way (ft): 40
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction
Permits:
Released By:
Sewer Connection Permit
Sof ri -3a •dam
Contractor: H & S CONSTRUCTION Firm: H & S CONSTRUCTION
Address: 11817 E VALLEYWAY AVE
SPOKANE, WA 99206
Phone: (509) 926-8964
Item Description Units Unit Desc Fee Amount
SEWER CONNECTION 1 NUMBER OF $85.00
PROCESSING FEE 1 Y OR BLANK $15.00
Operator: JAS Printed By: JAS
Permit Total Fees: $100.00
Print Date: 7/30/02
Project Number: 02006441 Inv: 1
Application
Date: 7/30/02 Page 2 of 2
THIS ISNOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
Payment Summary:
Permit Tvpe
Sewer Connection Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$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: JAS Printed By: JAS
Print Date: 7/30/02