2003, 01-10 Permit App: 03000198 Sewer Project Number: 03000198 Inv: I Application Date: 1/10/2003 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION-OLD ORCHARD Contact: OPFER,GUS
Address: 425 S VAN MARTER
C -S -Z: SPOKANE,WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509)926-4325
Group Name:
Site Information: Project Name:
Plat Key: 001839 Name: OPPORTUNITY TR#01-354 District: F
Parcel Number: 45201.0904 Block: Lot:
SiteAddress: 10504 E 4TH AVE Owner: Name: OPFER, GUS
SPOKANE,WA 99206 Address: 425 S VAN MARTER
Location::SPO SPOKANE,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: .00 Acres Width: 145 Depth: 330 Right Of Way(ft): 60
Nbr of Bldgs: 3 Nbr of Dwellings: 1
Review Information:
Review
Review by Utilities Released By: _,._.___
Permits:
Sewer Connection Permit
Contractor: OWNER Firm: OWNER
Phone:
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: 1/10/2003
Project Number: 03000198 Inv: 1 Application Date: 1/10/2003 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
STOP WORK ORDER ISSUED BY D. HOWARD FOR A NEW DOUBLEWIDE MOBILE HOME
INSTALLED WITHOUT A PERMIT(2ND RESIDENCE)BY HOMEOWNER. INVESTIGATION
FEES REQUIRED.
D. TRUAX
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 construed 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 B_y: JAS Print Date: 1/10/2003