1998-06-03 Permit Sewer_Page_1i r ,•�,,.� .� i ii i
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SITE INFORMATION PROJECT INFORMATION
SITE ADDRESS: 19119 E BROADWAY AVE
GREENACRES WA 99016
PARCEL NUMBER: 55172.0422
SUBDIVISION: CORBIN ADD TO GREENACRES
LOT: 3 BLOCK: 3 ZONE: B-3
INSPECTOR: LEONARD FLUNO
WATER DIST: CONSOLIDATED IRRG
OWNER: PALM HARBOR
PHONE: 503 209 9995
ADDRESS: 15303 DALLAS PKY #800
DALLAS TX 75248
SEWER PERMIT
CONTRACTOR
CONTINENTAL CONTRACTORS INC
LICENSE #: CONTICI044NH
SEWER CONNECTION 1
PROCESSING FEE 15.00
TOTAL PERMIT FEE $100.00
PAYMENT SUMMARY
PAYMENT DATE RECEIPT# PAYMENT AMOUNT
------------ --------
06/03/98 00005735 $100.00
TOTAL FEES AMOUNT PAID AMOUNT OWING
------------- ------------ -------------
$100.00 $100.00 $.00
ISSUED PERMIT BY: CAROL FRAZIER
PROJECT NUMBER: 98004764 ISSUE DATE: 06/03/98
PERMIT USE: SEWER CONNECTION (98S-1037)
APPLICANT: CONTINENTAL CONTRACT
PHONE: 509 276 3402
ADDRESS: PO BOX 454
NINE MILE FALLS WA 99026
CONTACT: LORI BURGENER PHONE: 509 276 3402
SETBACKS -> FRONT: NA LEFT: NA RIGHT: NA REAR: NA
LENDER NAME:
PHONE:
ADDRESS:
PERMITS)
NOTES
***FOR SEWER STUB AS -BUILT INFORMATION AND INSPECTIONS, CALL
THE COUNTY UTILITIES DEPARTMENT AT 456-3604***
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CALL BEFORE YOU DIG (456-8000)
SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
********* CALL FOR INSPECTION PRIOR TO COVER **********
********* 24 HOUR NOTICE REQUIRED **********
********* 456-3604 **********