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2001, 06-12 Permit App: 01004532 SewerProject Number: 01004532 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/12/01 Page 1 of 1 Project Information: Permit Use: SEWER CONNECTION - PONDEROSA Contact: Z -BEST CONSTRUCTION Address: PO BOX 13421 C - S - Z: SPOKANE, WA. 99213 Setbacks: Front Left: Right: Rear: Phone: (509) 891-9949 Group Name: Site Information: Project Name: Plat Key: 000000 Name: UNKNOWN District: F Parcel Number: 44041.0501 Block: Lot: SiteAddress: 4621 S BATES RD SPOKANE, WA USA 00000 Location:: SPO Zoning: UNKN Water District: Area: 11.703 Sq Ft Unknown Owner: Name: BISHOP, JEFFREY C Address: 4621 S BATES RD SPOKANE, WA 99206-9475 Flold: ❑ Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Retie,'" Information: Department Review ENGINEER Road Obstruction FIoId Reasons: Permit Conditions: Released By: s?/5a-297 Permits• , Sewer Permit Contractor: Z BEST CONSTRUCTION Address: P O BOX 13241 AVE SPOKANE, WA 99213-3241 Item Description SEWER CONNECTION PROCESSING FEE Payment Stunmarj: Firm: Z BEST CONSTRUCTION Phone (509) 891-9949 Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Fee Amount $85.00 $15.00 Permit Total Fees: $100 00 Operator: DMD Printed By: DMD Print Date. 6/12/01 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Sewer Permit $100.00 $100.00 $0 00 $100.00 Notes: $100.00 $100.00 $0.00 $100.00