2002, 01-31 Permit App: 02000620 Sewer Project Number: 02000620 Inv: 1 Date: 1/31/02 Page 1 of 2
j Application
THISIIS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION-MEADOWVIEW RANCH Contact: RIGGIN,RAY
#2 Address: 5408 N BEST RD
C-S-Z: SPOKANE WA 99216
Setbacks:Front Left: Right: Rear: Phone: (509)924-1823
Group Name:
Site Information: Project Name:
Plat Key: 005732 Name: MEADOWVIEW RANCH ESTATES 2ND ADD District: G
Parcel Number: 55203.0801 Block: 1 Lot: 1
SiteAddress: 18704 E 8TH AVE Owner:Name: RIGGIN,RAY
GREENACRES,WA USA 9901 Address: 5408 N BEST RD
Location::GRE SPOKANE WA 99216
Zoning: UR-3.5 Urban Residential 3.5
Water District: 008 CONSOLIDATED IRRG#1 Hold: ❑
Area: 19,020 Sq Ft Width: 114 Depth: 121 Right Of Way(ft): 60
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: /(! "'
Review
Review by Utilities Released By(A • !i" r !,
C.- VC-F-04 t
Permits:
Sewer Connection Permit
Contractor: BLACKHAWK CORP Firm: BLACKHAWK CORP
Address: 22505 E DALKE AVE Phone: (509)928-0218
OTIS ORCHARDS,WA 99027
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: 1/31/02
Project Number: 02000620 Inv: 1 Application' Date: 1/31/02 Page 2 of 2
THIS IS NOT PIRMIT
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: 1/31/02