2001, 05-17 Permit App 01003694 SewerProject Number: 01003694 Inv: 1
JIM
Application
Date: 5/17/01 Page 1 of 1
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION
Contact: A+ DRAIN & SEWER SERVICE INC
Address: 4923 N CONKLIN RD
C - S - Z: SPOKANE, WA 99216
Setbacks: Front Left: Right: Rear: Phone: (509) 891-2280
Group Name:
Project Name:
Site Information:
left .411,,N0141.1MOVFM41,4-•
Plat Key: 002851 Name: WELLESLEY MANOR 4TH ADD
Parcel Number: 46363.0411 Block:
SiteAddress: 4907 N ISENHART RD
SPOKANE, WA 99216
Location:: SPO
Zoning: UR-3.5
Water District:
Urban Residential 3.5
Lot:
District:
H
Owner: Name: HANSEN, R.A.
Address: 4907 N ISENHART RD
SPOKANE, WA 99216
Hold: ❑
Area: 0 Sq Ft Width: 175 Depth: 100 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Department
ENGINEER
Hold Reasons:
Permit Conditions:
Permits:
Review
Road Obstruction
D S1R Z2D
Released By:
Sewer Perrnit
Contractor: A+ DRAIN & SEWER SERVICE Firm: A+ CONSTRUCTION
Address: 4923 N CONKLIN RD Phone: (509) 891-2280
SPOKANE, WA 99216
Item Description
SEWER CONNECTION
PROCESSING FEE
Payment Summary:
Operator: CKF
Permit Type
Sewer Permit
Notes:
Units Unit Desc Fee Amount
1 NUMBER OF $85.00
1 Y OR BLANK $15.00
Permit Total Fees:
Printed By: CKF Print Date:
$100.00
5/17/01
Fee Amount Invoice Amount Amount Paid Amount Owing
$0.00 $100.00
$100.00 $100.00
$100.00
$100.00
$0.00 $100.00