2002, 05-13 Permit App: 02003625 SewerProject Number: 02003625 Inv: I Application Date: 5/13/02 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Prosect Information:
Permit Use: SEWER CONNECTION - SOUTH PONDEROSA Contact: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE
C - S - Z: GREENACRES, WA 99016
Setbacks: Front Left: Right: Rear: Phone: (509) 924-5485
Group Name:
Site Information: Project Name:
Plat Key: CONV Name: CONVERTED CNTY DATA District: D
Parcel Number: 44042.1423 Block: Lot:
SiteAddress: 11219 E 48TH AVE Owner: Name: WAKE, BOB
SPOKANE, WA 99206 Address: 11219 E 48TH AVE
Location:: SPO SPOKANE, WA 99206
Zoning: SFR
Water District: Hold: ❑
Area: 15,352 Sq Ft Width: 110 Depth: 139 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction Released By: 3 �'
Permits:ar�a
— - Sewer Connection Permit -
Contractor: COURCHAINE CONSTRUCTION Firm: COURCHAINE CONSTRUCTION
Address: 19818 E SPRAGUE AVE Phone: (509) 928-0846
GREENACRES, WA 99016
Item Description
SEWER CONNECTION
PROCESSING FEE
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Permit Total Fees:
Fee Amount
$85.00
$15.00
$100.00
Operator: CKF Printed By: CKF Print Date: 5/13/02
Project Number: 02003625 Inv: I Application Date: 5/13/02 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing 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 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: CYCF Printed By: CKF Print Date: 5/13/02