2001, 09-05 Permit App 01007550 SewerProject Number: 01007550 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION - FAIR ACRES
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: 000905 Name: FRUITLAND ADD.
Parcel Number: 45081.0135 Block:
Date: 9/5/01 Page 1 of 1
Contact: GILLINGHAM SAND & GRAVEL
Address: 9701 W CHAMPION LN
C - S - Z: CHENEY WA 99004
Phone: (509) 456-5527
Group Name:
Project Name:
Lot:
District:
SiteAddress: 10508 E MONTGOMERY AVE Owner: Name: GILLINGHAM, JOHN
SPOKANE, WA USA 00000 Address: 9701 W CHAMPION LN
Location:: SPO CHENEY, WA 99004-9605
Zoning: UNKN Unknown
Water District:
Area: 19,414 Sq Ft
Nbr of Bldgs: 0
Review Information:
Department
UTILITIES
Hold Reasons:
Permit Conditions:
Hold: ❑
Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Dwellings: 0
Review
Review by Utilities
Contractor: UNKNOWN
Address: UNKNOWN
UNKNOWN, WA UNKNOWN
Item Description
SEWER CONNECTION
PROCESSING FEE
Payment Summary:
Operator: JAS
Permit Type
Sewer Connection Permit
Notes:.,
Released By:
Sewer Connection Permit
Units
1
1
Printed By: JAS
Fee Amount
$100.00
$100.00
Firm: UNKNOWN
Phone: (000) 000-0000
Unit Desc
NUMBER OF
Y OR BLANK
Permit Total Fees:
Print Date:
Invoice Amount
$100.00
$100.00
Fee Amount
$85.00
$15.00
$100.00
Amount Paid
$0.00
$0.00
9/5/01
Amount Owing
$100.00
$100.00