2002, 05-21 Permit App 02003911 SewerProject Number: 02003911 Inv: 1
`Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
........ ....... .......
Permit Use: SEWER CONNECTION - EASTON
Date: 5/21/2002 Page 1 of 2
Contact: INLAND EXCAVATING & CONSTRUCT
Address: 3417 W OLSON RD
C - S - Z: DEER PARK, WA 99006
Setbacks: Front Left: Right: Rear: Phone: (509) 276-8500
Group Name:
Site Information: Project Name:
...............
Plat Key: 001835 Name: OPP.TR. 1-354
District:
Parcel Number: 45163.0105 Block: Lot:
SiteAddress: 11316 E BROADWAY AVE Owner: Name: LISENBEE, JACK C
SPOKANE, WA 99206 Address: 11316 E BROADWAY AVE
Location:: SPO SPOKANE, WA 99206
Zoning: UR-3.5
Water District:
Urban Residential 3.5
Hold: ❑
Area: 0 Sq Ft Width: 74 Depth: 199 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Review
Road Obstruction
Permits:
S
Sewer Connection Permit
Contractor: INLAND EXCAVATING & CONST Firm: INLAND EXCAVATING & CONST
Address: 3417 W OLSON RD Phone: (509) 276-8500
DEER PARK, WA 99006
Item Description
SEWER CONNECTION
PROCESSING FEE
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Fee Amount
$85.00
$15.00
Permit Total Fees: $100.00
Operator: RMB Printed By: RMB Print Date: 5/21/2002
Project Number: 02003911 Inv: 1
Application
THIS IS NOT AllIERMT
Date: 5/21/2002 Page 2 of 2
Penalties will be assessed for commencing work without a permit
Payment Summary:
Permit Type
Sewer Connection Permit
Fee Amount Invoice Amount
$100.00 $100.00
Amount Paid
$0.00
Amount Owing
$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: 5/21/2002