2004, 11-15 Permit App: 04009068 Right-of-WayProject Number: 04009068 Inv: I A�plication Date: 11/15/2004 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Parcel Number: 45232.9137 Block: Lot:
SiteAddress: 14422 E 4TH AVE Owner: Name: MANOS, MICHAEL C
Address: 14422 E 4TH AVE
Location:: SPO SPOKANE, WA 99216-2107
Zoning: UR -3.5 Urban Residential 3.5
Water District: 010 VERA Hold: ❑
Area: 6.64 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Re -vie -iv Information:
Review
Road Obstruction }Zeleased By
�� �;ti-T G'r^ rti.�W.. c•L� ..N c_ �. /E%rOYy�.�� �-- .� �'w�Y�^/1��—c�
Permits:
..................................................
Right of Way
Contractor: ELLER CORPORATION Firm: ELLER CORPORATION
Address: P.O. BOX 117 Phone: (509) 226-0333
NEWMAN LAKE, WA 99025
Item Description Units Unit Desc Fee Amount
CONST IN ROW - UTILITIES 1 NUMBER OF $16.00
ROW INSPECTION 1 NUMBER OF $25.00
Permit Total Fees: $41.00
Operator: K C Printed By: K_C Print Date: 11/15/2004
Project Number: 04009068 Inv: 1 Applicaiion Date: 11/15/2004 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:................................................................. .
Pavnzent Sumnza
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Right of Way $41.00 $41.00 $0.00 $41.00
$41.00 $41.00 $0.00 $41.00
Disclaimer.-
Submittal
isclaimer: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 construed 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: K C Printed By: K C Print Date: 11/15/2004