2002, 01-18 Permit App: 02000324 Sewer Project Number: 02000324 Inv: 1 Application Date: 1/18/02 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: DRYLINE SEWER CONNECTION/SP-1267-01 Contact: ROGER GIDDINGS EXCAVATION
Address: 11812 E.BIGELOW GULCH
C-S-Z: SPOKANE,WA.99217
Setbacks:Front Left: Right: Rear: Phone: (509)922-5907
Group Name:
Site Information: Project Name:
Plat Key: 001179 Name: HELSTROM REPLAT MISSION-PINES District: F
Parcel Number: 45161.0213 Block: Lot:
SiteAddress: 1304 N WILBUR RD Owner:Name: NIEHENKE,ELMER
SPOKANE,WA 99206 Address: 1304 N WILBUR RD
Location::SPO SPOKANE,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 0 Sq Ft Width: 90 Depth: 120 Right Of Way(ft): 50
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review CAL, ‘,C2 P�1-
Review by Utilities Released c
Lf t`
Sewer Connection Permit
Contractor: ROGER GIDDING Firm: ROGER GIDDINGS EXCAVATION
Address: 11812 E BIGELOW GULCH RD Phone: (509)922-5907
SPOKANE,WA 99207
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: 1/18/02
Project Number: 02000324 Inv: 1 Application Date: 1/18/02 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
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: 1/18/02