2002, 02-19 Permit App: 02000956 Sewer Project Number: 02000956 Inv: 1 Application Date: 2/19/02 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-EASTERN Contact: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE
C-S-Z: GREENACRES,WA 99216
Setbacks: Front Left: Right: Rear: Phone: (509)924-5485
Group Name:
Site Information: Project Name:
Plat Key: 000081 Name: APPLE WAY HEIGHTS District: D
Parcel Number: 35242.2508 Block: Lot:
SiteAddress: 6520 E 6TH AVE Owner:Name: SEEMAN,STANLEY V
SPOKANE,WA 99212 Address: 6520 E 6TH AVE
Location::SPO SPOKANE,WA 99212
Zoning: UR-7 Urban Residential-7
Water District: Hold: ❑
Area: 0 Sq Ft Width: 80 Depth: 135 Right Of Way(ft): 30
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction
Released By0-0'44N
Permits:
Sewer Connection Permit
Contractor: COURCHAINE CONSTRUCTION Firm: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE AVE Phone: (509)928-0846
GREENACRES,WA 99016
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: 2/19/02
Project Number: 02000956 Inv: I Application Date: 2/19/02 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
Payment Summary: ,
Pei wit 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: 2/19/02