2002, 02-19 Permit App: 02000977 SewerProject Number: 02000977 Inv:l A}lpsllcation Date: 2/19/2002 Page l oft
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information
Permit Use: SEWER CONNECTION - U -HIGH Contact: ZUBER CONSTRUCTION
Address: 26327 E MISSION
C - S -Z: LIBERTY LAKE, WA 99019
Setbacks: Front Left: Right: Rear: Phone: (509)926-3777
Group Name:
Site Information: Project Name.
Plat Key: 002704 Name: UNIVERSITYPLACE District: F
Parcel Number: 45204.0555 C V Block:
SiteAddress 4
E8THCAVE
A
SPOKANE, WA 99206
Location:: SPO
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: 0 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction
Lot:
Owner: Name: LEE, LINDA
Address: 10120 E 8TH AVE
SPOKANE, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review by Utilities Released By�... t, t#q
Permits:
—'-'-'--- Sewer Connection Permit "-
Contractor:
ZUBER CONSTRUCTION
Firm:
ZUBER CONSTRUCTION
Address:
26327 E MISSION
Phone:
(509) 926-3777
LIBERTY LAKE, WA 99019
Item Description
SEWER CONNECTION
PROCESSING FEE
Units Unit Desc Fee Amount
1 NUMBER OF $85.00
1 Y OR BLANK $15.00
Permit Total Fees: $100.00
Operator: DMD Printed By: DMD Print Date: 2/19/2002
Project Number: 02000977 Inv: 1 App&atl9n Date: 2/19/2002 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 Owine
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 M be true and correct, and agrees that all previsions of laws and/or regulations governing this type ofwork will be
complied with. Subsequent issuance of a permit shall not be earned 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.
Operator: DMD Printed By: DMD Print Date: 2/19/2002