2002, 02-27 Permit App: 02001189 SewerProject Number: 02001189 Inv: 1 Application Date: 2/27/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Parcel Number: 45261.5904 Block: 2 Lot: 4
SiteAddress: 15207 E 17TH CT Owner: Name: DOUGLASS, LANZCE G
VERADALE, WA USA 99037 Address: 815 E ROSEWOOD ST
Location:: VER SPOKANE, WA 99208 -
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: 11,064 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Hold: ❑
Depth: 0 Right Of Way (ft): 50
Permits:
- Sewer Connection Permit
Contractor: CANNON EXCAVATING INC
Address: PO BOX 28778
SPOKANE, WA 99228
Item Description
SEWER CONNECTION
PROCESSING FEE
Firm: CANNON EXCAVATING INC
Phone: (509) 467-6522
Units Unit Desc Fee Amount
I NUMBER OF $85.00
1 Y OR BLANK $15.00
Permit Total Fees: $100.00
Operator: RMB Printed By: RMB Print Date: 2/27/2002
Project Number: 02001189 Inv: 1 Application Date: 2/27/21102 Page 2 of 2
THIS IS NOT A PKRMIT
Penalties will be assessed for commencing work without a permit
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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: 2/27/2002