2002, 04-17 Permit App: 02002652 Sewer Project Number: 02002652 Inv: 1 -Application Date: 4/17/2002 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-SP-965-94 Contact: JTS DEVELOPMENT
Address: 4029 S TERRA VERDE DR
C - S -Z: VERADALE,WA 99037
Setbacks: Front Left: Right: Rear: Phone: (509)927-3879
Group Name:
Site Information: Project Name:
Plat Key: 005601 Name: SP-965-94 District: F
Parcel Number: 45224.2253 Block: Lot: B
SiteAddress: 13202 E 13TH AVE Owner: Name: JTS DEVELOPMENT INC
SPOKANE,WA USA 00001) Address: 4029 S TERRA VERDE DR
Location:: SPO VERADALE,WA 99037-9124
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 14,212 Sq Ft Width: 100 Depth: 142 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review /-/ i' /v 7--
Review by Utilities Released
Permits:
Sewer Connection Permit
Contractor: JTS DEVELOPMENT INC Firm: JTS DEV INC-JERRY STOLP
Address: 4029 S TERRA VERDE DR Phone: (509)927-3879
VERADALE,WA 99037
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: 4/17/2002
r
Project Number: 02002652 Inv: 1 Application Date: 4/17/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes:
WATER DISTRICT APPROVAL REQUIRED
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: 4/17/2002