2002, 08-26 Permit: 02007321 SewerProject Number: 02007321 Inv: 1 Application Date: 8/26/02 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for co—m-meacing work without a permit
Proiect Information:
Permit Use: SEWER CONNECTION - S PONDEROSA Contact: SHORT SEPTIC SERVICE INC
Setbacks: Front Left: Right: Rear:
Site Information:
Plat Key: 001743 Name: MYRON ESTATES NO 8
Parcel Number: 44042.1812 Block:
SiteAddress: 10807 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:
Review
Road Obstruction
Address: 3350 WILLIAMS RD E
C - S - Z: ALMIRA WA 99103
Phone: (509) 639-2393
Group Name:
Project Name:
District: E
Lot:
Owner: Name: OVERBAY, SHANNON
Address: 10807 E 48TH AVE
SPOKANE, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 50
Permits:__.
- - — — ---
Sewer Connection Permit
Contractor: SHORT SEPTIC SERVICE INC
Firm: SHORT SEPTIC SERVICE INC
Address: 3350 WILLIAMS RD E
Phone:
(509) 639-2393
ALMIRA WA 99103
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: CKF Printed By: CKF Print Date: 8/26/02
Project Number: 02007321 Inv: I Application Date: 8/26/02 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for -Cu, ;imencing work without a permit
Notes:
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 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: CKF Printed By: CKF Print Date: 8/26/02