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HomeMy WebLinkAbout2002, 07-30 Permit App: 02006440 Sewer Project Number: 02006440 Inv: l Application Date: 7/30/02 Page 1 of 2 THIS IS NOT.A PERMIT Penalties will be assessed for commencing work without a permit Project In formation: Permit Use: SEWER CONNECTION-HUTCHINSON 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: Project Name: Site Information: Plat Key: 001228 Name: HILLCREST ACRES 6TH ADD District: F Parcel Number: 45181.0629 Block: Lot: SiteAddress: 1524 N VISTA RD Owner:Name: RODRIQUEZ,PEDRO SPOKANE,WA 99212 Address: 1524 N VISTA RD Location::SPO SPOKANE,WA 99212 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 0 Sq Ft Width: 75 Depth: 100 Right Of Way(ft): 60 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Road Obstruction Released,By: +d ` - 1 0.2-S_tctf_ Permits: 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: JAS Printed By: JAS Print Date: 7/30/02 Project Number: 02006440 Inv: 1 Application Date: 7/30/02 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes: Payment Summary: Permit Type 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: JAS Printed By: JAS Print Date: 7/30/02