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2001, 09-11 Permit App: 01007742 SewerProject Number: 01007742 Inv: 1 .Application Date: 9/11/01 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 - WELLESLEY MANOR Contact: MARY/Z-BEST 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: 002579 Name: SUNNYVALE ADDITION District: H Parcel Number: 45011.0704 Block: SiteAddress: 4707 N CONKLIN RD SPOKANE, WA 99206 Location:: SPO Zoning: UR 3.5 Water District: Lot: Owner: Name: PAYNE, STEVE Address: 4707 N CONKLIN RD SPOKANE, WA 99206 Hold: ❑ Area: 0 Sq Ft Width: 90 Depth: 140 Right Of Way (ft): 60 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Department ENGINEER Permits: Hold Reasons: Review Road Obstruction Permit Conditions: C' /,SLZ Sp o Released By: q- /I- 49i Sewer Connection Permit Contractor: Z BEST CONSTRUCTION Firm: Z BEST CONSTRUCTION Address: P 0 BOX 13241 AVE SPOKANE, WA 99213-3241 Item Description SEWER CONNECTION PROCESSING FEE Payment Summary: Operator: JAS Permit Type Sewer Connection Permit Notes: Phone: (509) 891-9949 Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Printed By: JAS Permit Total Fees: Print Date: Fee Amount $85.00 $15.00 $100.00 9/11/01 Fee Amount Invoice Amount Amount Paid Amount Owing $100.00 $100.00 $100.00 $100.00 $0.00 $100.00 $0.00 $100.00