2002, 05-28 Permit App: 02004135 SewerProject Number: 02004135 111v: I A -npl-* I dt
I'vp ic ion* Date: 5/28/2002 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Proiect Information:
Parcel Number: 44042.1813 Block:
SiteAddress: 10717 E 48TH AVE,
SPOKANE, WA 99206
Location:: SPO
Zoning: SFR
Water District:
Area: 0 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Revi,
Roa(
Lot:
Owner: Name: BRAYTON, DARYL & BETTY
Address: 10717 E 48TH AVE
SPOKANE, WA 99206
Hold: F]
Depth: 0 Right Of Way (ft): 50
Permits: ......................................................... - ...... ...................
. ................... I ......... ............... . - ........ .... . .. .....
Sewer Connection Permit
Contractor: SHORT SEPTIC SERVICE INC Firm: SHORT SEPTIC SERVICE INC
Address: 3350 WILLIAMS RD E Phone: (509) 639-2393
ALNURA WA 99103
Item Description
SEWER CONNECTION
PROCESSING FEE
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: RNIB Print Date: 5/28/2002
Project Number: 02004135 Inv: I Application Date: 5/28/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Notes: ::
Payment Summary: ry
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: 5/28/2002