2002, 01-30 Permit App: 02000554 Sewer Project.Number: 02000554 ' InF:'1 `Application Date: 1/30/2002 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 -SHELLY LAKE Contact: LANZCE DOUGLASS INC
Address: 8510 N CRESTLINE
C - S -Z: SPOKANE WA 99217-7718
Setbacks: Front Left: Right: Rear: Phone: (509)483-6532
Group Name:
Site Information: Project Name:
Plat Key: 005862 Name: SHELLEY LAKE District: F
Parcel Number: 45242.1714 Block: 7 Lot: 14
SiteAddress: 16008 E 6TH LN Owner: Name: LANZCE DOUGLASS
VERADALE,WA USA 99037 Address: 815 E ROSEWOOD AVE
Location::VER SPOKANE,WA 99208
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 7,860 Sq Ft Width: 83 Depth: 102 Right Of Way(ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Review by Utilities Released By;,,y„0411 I%VI WW1 v
Permits:
Sewer Connection Permit
Contractor: CANNON EXCAVATING INC Firm: CANNON EXCAVATING INC
Address: PO BOX 28778 Phone: (509)467-6522
SPOKANE,WA 99228
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: RMB Printed By: RMB Print Date: 1/30/2002
Project Number: 02000554 Inv: 1 Application bate 1/30/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
OCCUPANCY IS DENIED ON ALL LOTS UNTIL FURTHER NOTICE FROM DIV. OF UTILITIES
PER GENE REPP 3/26/97 CKF OK TO ISSUE SEWER PERMITS FOR: BLOCK 2 - LOTS 3
THROUGH 10& 1, 2 BLOCK 3 - LOTS 1 THROUGH 7 BLOCK 4 - LOTS 1 THROUGH 4
BLOCK 5 - LOTS 2 THROUGH
6& 19 BLOCK 6 - LOTS 1 THROUGH 10
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: RMB Printed By: RMB Print Date: 1/30/2002