2002, 05-03 Permit App: 02003289 SewerProject Number: 02003289 Inv: 1
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Application Date: 5/3/02 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 - DISHMAN COMMONS
Setbacks: Front
Site Information:
Left: Right: Rear:
Contact: NORTHWEST REGIONAL FACILITATO
Address: 525 E MISSION AVE
C - S - Z: SPOKANE WA 99202
Phone: (509) 484-6733
Group Name:
Project Name:
MnINXTAVW4MreM,:e3,A. WaMSOMMIMS ..,WITZMWALV,A
Plat Key: 006123 Name: DISHMAN COMMONS District: F
Lot: 10B
Parcel Number: 45291.1910 Block: 3
SiteAddress: 10008 E 17TH LN
SPOKANE, WA USA 00000
Location:: SPO
Owner: Name: NORTHWEST REGIONAL FACILI
Address: 525 E MISSION AVE
SPOKANE WA 99202
Zoning: UR -3.5 Urban Residential 3.5
Water District: 100 SPO CO WATER DIST#3A Hold: 111
Area: 4,550 Sq Ft Width: 45 Depth: 100 Right Of Way (ft): 32
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Review by Utilities
Permits: Rwmwmawszl
Released By:
Sewer Connection Permit
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Contractor: NORTHWEST REGIONAL Firm: NORTHWEST REGIONAL FACILI
Address: 525 E. MISSION AVE Phone: (509) 484-6733
SPOKANE, WA 99202
Item Description
SEWER CONNECTION
PROCESSING FEE
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: 5/3/02
Project Number: 02003289 Inv: I
Notes:
f
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/3/02 Page 2 of 2
Payment Summary x ,
Permit Type
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
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: 5/3/02