2002, 03-04 Permit App: 02001328 SewerProject Number: 02001328
4
Inv: 1
Application
Date: 3/4/2002 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 - EMPIRE HEIGHTS Contact: VIETZKE EXCAVATING
Address: 2011 S CRAIG RD
C - S - Z: AIRWAY HEIGHTS, WA 99001
Setbacks: Front Left: Right: Rear: Phone: (509) 244-9607
Group Name:
Site Information: Project Name:
Plat Key: 000735 Name: EMPIRE HEIGHTS ADD District: D
Parcel Number: 35241.2617
Block: Lot:
SiteAddress: 6815 E 5T11 AVE
SPOKANE, WA 99212
Location:: SPO
Owner: Name: CHEN, KEVIN G.
Address: 6815 E 5TH AVE
SPOKANE, WA 99212
Zoning: UR -7 Urban Residential -7
Water District: Hold: ❑
Area: 0 Sq Ft Width: 125 Depth: 125 Right Of Way (ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction
Permits:
Released By:
oa 3S IbS
Stover Connection Permit
Contractor: VIETZKE EXCAVATING Firm: VIETZKE EXCAVATING
Address: 2011 S CRAIG RD #1 Phone: (509) 244-9607
AIRWAY HEIGHTS, WA 99001
Item Description
SEWER CONNECTION
PROCESSING FEE
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Operator: DMD Printed By: DMD
Fee Amount
$85.00
$15.00
Permit Total Fees: $100.00
Print Date: 3/4/2002
Project Number: 02001328 Inv: 1
Applicon
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
-4
Date: 3/4/2002 Page 2 of 2
Notes:
Payment ent Summ
arv::;;.;«.::
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: DMD Printed By: DMD
Print Date: 3/4/2002