2001, 11-14 Permit App: 01010056 Sewer Project Number: 01010056 Inv: 1 Application Date: 11/14/01 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
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Permit Use: SEWER CONNECTION-KEYSTONE MEADOWS Contact: J.T.S.DEVELOPMENT CORPORATION
Address: 4029 S TERRA VERDE
C-S-Z: VERADALE,WA 99037
Setbacks:Front Left: Right: Rear: Phone: (509)939-7670
Group Name:
Site Information: Project Name:
Plat Key: 006124 Name: KEYSTONE MEADOWS District: F
Parcel Number: 45222.3603 Block: 1 Lot: 3
SiteAddress: 12917 E 2ND LN Owner:Name: J.T.S.DEVELOPMENT CORPORA
SPOKANE,WA USA 9926 Address: 4029 S TERRA VERDE
Location::SPO VERADALE,WA 99037
Zoning: UR-7 Urban Residential-7
Water District: 011 MODERN Hold: ❑
Area: 10,753 Sq Ft Width: 80 Depth: 134 Right Of Way(ft): 20
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: . _ ,: r, ,.„ µ , u-- s_ 9M-MMSNIEM&I.O._ __ --` .e `. ."tea r..:
Review
Review by Utilities Releasedtt. .rc.b ; � ,
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Permits: _ OMA- .1,....,`-`,,,,,; . _ _, .< 6,, - ...:;^,.,-, .,...A ., niW.a a;OW k - ..
—— Sewer Connection Permit
Contractor: JTS DEVELOPMENT INC Firm: JTS DEV INC-JERRY STOLP
Address: 4029 S TERRA VERDE DR Phone: (509)927-3879
VERADALE,WA 99037
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: 11/14/01
Project Number: 01010056 Inv: 1 Application Date: 11/14/01 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
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: JAS Printed By: JAS Print Date: 11/14/01