2002, 05-21 Permit App 02003910 SewerProject Number: 02003910 Inv: 1 - - Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/21/2002 Page 1 of 2
Project Information:
. . . . . . . . . . . . . . .
Permit Use: SEWER CONNECTION - EASTON 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:
Project Namc:
Site Information: ....... . . . . ...............
Plat Key: 001835 Name: OPP.TR 1-354 District: F
Parcel Number: 45163.0107 Block:
SiteAddress: 11320 E BROADWAY AVE
SPOKANE, WA 99206
Location:: SPO
Zoning: UR-3.5
Water District:
Area: 0 Sq Ft
Nbr of Bldgs: 1
Urban Residential 3.5
Width: 0
Nbr of Dwellings: 1
Lot:
Owner: Name: ALLEN, LOREN
Address: 11320 E BROADWAY AVE
SPOKANE, WA 99206
Hold: [1]
Depth: 0 Right Of Way (ft): 0
Review
Road Obstruction
Permits:
c)-Zc-0 onv-
Sewer Connection Permit
Contractor: INLAND EXCAVATING & CONST
Address: 3417 W OLSON RD Phone: (509) 276-8500
DEER PARK, WA 99006
Item Description
SEWER CONNECTION
PROCESSING FEE
Firm: INLAND EXCAVATING & CONST
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:
5/21/2002
Project Number: 02003910 Inv: I
Application
THIS IS NOT A Pi:RMIT
Penalties will be assessed for commencing work without a permit
Notes:
Payment Summary::.;:.:;:.::::;.;:.;
Permit Type
Sewer Connection Permit
Date: 5/21/2002 Page 2 of 2
Fee Amount Invoice Amount Amount Paid Amount Owing
$100.00 $100.00
$100.00 $100.00
$0.00 $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