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HomeMy WebLinkAbout2002, 06-27 Permit App: 02005303 SewerProject Number: 02005303 Inv: 1 j Application Date: 6/27/02 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 - S PONDEROSA Contact: ACME EXCAVATING Address: 3021 N LILY RD C - S - Z: SPOKANE, WA 99212 Setbacks: Front Left: Right: Rear: Phone: (509) 228-0691 Group Name: Site Information: Project Name: Plat Key: 001740 Name: MYRON ESTATES #4 District: D Parcel Number: 44042.1004 Block: Lot: SiteAddress: 10914 E 46TH AVE SPOKANE, WA 99206 Location:: SPO Owner: Name: DUNHAM, FRED Address: 10914 E 46TH AVE SPOKANE, WA 99206 Zoning: UR -3.5 Urban Residential 3.5 Water District: Hold: [11 Area: 0 Sq Ft Width: 150 Depth: 290 Right Of Way (ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Road Obstruction D�.,Sok$5.13 Permits: Contractor: ACME EXCAVATING Address: 721 N LILY RD SPOKANE, WA 99212 Item Description SEWER CONNECTION PROCESSING FEE Released By: Sewer Connection Permit Firm: MAKE ORRINO/ACME EXCAVAT Phone: (509) 228-0691 Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Operator: JAS Printed By: JAS Permit Total Fees: Fee Amount $85.00 $15.00 $100.00 Print Date: 6/27/02 Project Number: 02005303 Inv: 1 Notes: Application .0 Date: 6/27/02 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary ;F � Permit Tye Sewer Connection Permit Fee Amount $100.00 $100.00 Invoice Amount $100.00 $100.00 Amount Paid $0.00 $0.00 Amount Owing $100.00 $100.00 Page 2 of 2 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: JAS Printed By: JAS Print Date: 6/27/02