2002, 03-01 Permit App: 02001287 Sewer Project Number: 02001287 Inv: 1 Application Date: 3/1/02 Page 1 of 2
THISr'S NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION-EMPIRE HEIGHTS Contact: ALLIED SEWER&BORING
Address: 9317 S FREEMAN DR
C-S-Z: MEDICAL LAKE,WA 99022
Setbacks:Front Left: Right: Rear: Phone: (509)924-8508
Group Name:
Site Information: Project Name:
Plat Key: 000735 Name: EMPIRE HEIGHTS ADD District: D
Parcel Number: 35241.2909 Block: 5 Lot:
SiteAddress: 6918 E 6TH AVE Owner:Name: GETTIG,MIKE
SPOKANE,WA USA 99212 Address: 6918 E 6TH AVE
Location::SPO SPOKANE,WA 99212-0512
Zoning: UR-7 Urban Residential-7
Water District: Hold: ❑
Area: 11,430 Sq Ft Width: 90 Depth: 120 Right Of Way(ft): 60
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction Released By: '
42 sz Net7
Permits:
Sewer Connection Permit
Contractor: ALLIED SEWER BORING Firm: ALLIED SEWER BORING COMPA
Address: 9317 S FREEMAN DR Phone: (509)924-8508
MEDICAL LAKE,WA 99022
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: 3/1/02
Project Number: 02001287 Inv: 1
Application Date: 3/1/02 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: JAS Printed By: JAS Print Date: 3/1/02