2002, 06-10 Permit App 02004598 SewerProject Number: 02004598 Inv: .1
Application
Date: 6/10/02 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 - EASTON 2
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: 001624 Name: MICHIELLI SUB
Parcel Number: 45162.1158 Block: 72
SiteAddress: 11403 E BROADWAY AVE
SPOKANE, WA USA 00000
Location:: SPO
Zoning: UR-3.5
Water District:
Urban Residential 3.5
Area: 11,195 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Road Obstruction
Permits:
�2sMt� 4cos-
Contact: INLAND EXCAVATING & CONSTRUCTI
Address: 3417 W OLSON RD
C - S - Z: DEER PARK, WA 99006
Phone: (509) 276-8500
Group Name:
Project Name:
District: F
Lot: 7
Owner: Name: GLOTH, ALAN J
Address: 11403 E BROADWAY AVE
SPOKANE, WA 99206-5013
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Released By:
Sewer Connection Permit
Contractor: INLAND EXCAVATING & CONST
Address: 3417 W OLSON RD
DEER PARK, WA 99006
Item Description
SEWER CONNECTION
PROCESSING FEE
Firm: INLAND EXCAVATING & CONST
Phone:
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Permit Total Fees:
(509) 276-8500
Fee Amount
$85.00
$15.00
$100.00
Operator: CKF Printed By: CKF
Print Date: 6/10/02
Project Number: 02004598 Inv: 1
Notes:
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary:
Permit Type
Sewer Connection Permit
Date: 6/10/02 Page 2 of 2
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: CKF Printed By: CKF
Print Date: 6/10/02