2002, 02-11 Permit App 02000792 SewerProject Number: 02000792 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION - EMPIRE HEIGHTS
Setbacks: Front Left:
Site Information:
Plat Key: 003063 Name:
Right: Rear:
Date: 2/11/02 Page 1 of 2
Contact: VIETZKE EXCAVATING
Address: 2011 S CRAIG RD
C - S - Z: MEDICAL LAKE, WA. 99022
Phone: (509) 244-9607
Group Name:
Project Name:
2ND EMPIRE HEIGHTS ADD District: D
Parcel Number: 35241.3519 Block:
SiteAddress: 7210 E 5TH AVE
SPOKANE, WA USA 99212
Location:: SPO
Zoning: UR-7
Water District:
Area: 0 Sq Ft
Nbr of Bldgs: 1
Review Information:
Review
Road Obstruction
Permits:
Urban Residential-7
Width: 75
Nbr of Dwellings: 1
Contractor: VIETZKE EXCAVATING
Address: 2011 S CRAIG RD #1
MEDICAL LAKE, WA 99022
Item Description
SEWER CONNECTION
PROCESSING FEE
Lot:
Owner: Name: BECKER MANAGEMENT
Address: 3019 N ARGONNE RD
SPOKANE, WA 99212
Hold: I-1
Depth: 125 Right Of Way (ft): 60
Released By:
Sewer Connection Permit
Units
1
1
Firm: VIETZKE EXCAVATING
Phone: (509) 244-9607
Unit Desc
NUMBER OF
Y OR BLANK
Permit Total Fees:
Fee Amount
$85.00
$15.00
$100.00
Operator: CKF Printed By: CKF
Print Date: 2/11/02
Project Number: 02000792 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 2/11/02 Page 2 of 2
Notes:
Payment Summary:
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Sewer Connection Permit $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: 2/11/02