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2001, 05-16 Permit App: 01003660 SewerProject Number: 01003660 Inv: 1 Application Date: 5/16/01 Page 1 of 1 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SEWER CONNECTION - EASTON Contact: WALDORF CONSTRUCTION Address: PO BOX 840 C - S - Z: NEWMAN LAKE, WA 99025 Setbacks: Front Left: Right: Rear: Phone: (509) 226 -2055 Group Name: Site Information: Project Name: Plat Key: 002738 Name: VALLEY VISTA SUB Parcel Number: 45084.0427 Block: 3 SiteAddress: 1809 N BALFOUR RD SPOKANE, WA USA 99206 Location:: SPO Zoning: UR -3.5 Water District: Urban Residential 3.5 Lot: 10 District: F Owner: Name: GILLIS ETUX, G S Address: 1809 N BALFOUR RD SPOKANE, WA 99206 -3948 Hold: ❑ Area: 8,760 Sq Ft Width: 60 Depth: 146 Right Of Way (ft): 0 Nbr of Bldgs: 2 Nbr of Dwellings: 1 Review Information: Department Review ENGINEER Road Obstruction 5'26 Hold Reasons: 0 Permit Conditions: 0 t J TT a\ g' Contractor: WALDORF CONSTRUCTION Address: PO BOX 840 NEWMAN LAKE, WA 99025 Item Description SEWER CONNECTION PROCESSING FEE Payment Summary: Operator: MKC Printed By: MKC Print Date: 5/16/01 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Sewer Permit $100.00 $100.00 $0.00 $100.00 Sewer Permit Firm: RICHARD WALDORF/WALDORF Phone: (509) 226 -0880 Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Permit Total Fees: Fee Amount $85.00 $15.00 $100.00 $100.00 $100.00 $0.00 $100.00 4-go-4v v.tossoraw