2001, 06-25 Permit App: 01005061 Sewer Project Number: 01005061 Int: 1 Application Date: 6/25/01 Page 1 of 1
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION-APPLE VALLEY Contact: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE
C-S-Z: GREENACRES,WA 99216
Setbacks: Front Left: Right: Rear: Phone: (509)924-5485
Group Name:
Site Information: Project Name:
Plat Key: 999999 Name: RANGE District: F
Parcel Number: 45213.9096 Block: Lot:
SiteAddress: 11310 E 12TH AVE Owner:Name: ZIMBELMAN,CODY
SPOKANE,WA 99206 Address: 11310 E 12TH AVE
Location::SPO SPOKANE,WA 99206
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 0 Sq Ft Width: 82 Depth: 310 Right Of Way(ft): 40
Nbr of Bldgs: 2 Nbr of Dwellings: 1
Review Information:
Department Review
ENGINEER Road Obstruction Released By: 44 _�A " t
Hold Reasons: i
Permit Conditions: l_ I
Permits: ..
Sewer Permit
Contractor: COURCHAINE CONSTRUCTION Firm: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE AVE Phone: (509)928-0846
GREENACRES,WA 99016
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
Payment Summary:
Operator: CKF Printed By: CKF Print Date: 6/25/01
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Sewer Permit $100.00 $100.00 $0.00 $100.00
$100.00 $100.00 $0.00 $100.00
Notes: