2002, 06-18 Permit App 02004897 SewerProject Number: 02004897 Inv: 1
Application
Date: 6/18/2002
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 - SOUTH PONDEROSA Contact: ALLIED SEWER & BORING
Address: 9317 S FREEMAN DR
C - S - Z: MEDICAL LAKE, WA 99022
Setbacks: Front Phone: (509) 924-8508
Group Name:
Project Name:
Left: Right: Rear:
Site Information:
Plat Key: 001743 Name: MYRON ESTATES NO 8
District: F
Parcel Number: 44042.2007 Block:
SiteAddress: 10810 E FERRET DR
SPOKANE, WA 99206
Location:: SPO
Zoning: UNKN Unknown
Water District:
Area: 0 Sq Ft Width: 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: ..
Lot:
Owner: Name:
Address:
RITTER, BARB
10810 E FERRET DR
SPOKANE, WA 99206
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Review
Road Obstruction
S L (D1
Permits:
Contractor: ALLIED SEWER BORING
Address: 9317 S FREEMAN DR
MEDICAL LAKE, WA 99022
Item Description
SEWER CONNECTION
PROCESSING FEE
Sewer Connection Permit
Firm: ALLIED SEWER BORING COMPA
Phone: (509) 924-8508
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Permit Total Fees:
Fee Amount
$85,00
$15.00
$100.00
Operator: RMB Printed By: RMB
Print Date: 6/18/2002
Project Number: 02004897 Inv: 1
Notes:
4
Application
Date: 6/18/2002 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary:
Permit Type
Sewer Connection Permit
Fee Amount Invoice Amount Amount Paid Amount Owing
$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: 6/18/2002