2001, 05-08 Permit App: 01003387 SewerProject Number: 01003387 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/8/01 Page 1 of 1
Project Information:
Permit Use: SEWER CONNECTION - WEST VALLEY
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: 002792 Name: VISTA GARDENS NO.3
Contact: VIETZKE EXCAVATING
Address: 2011 S CRAIG RD
C - S - Z: MEDICAL LAKE, WA. 99022
Phone: (509) 535-4814
Group Name:
Project Name:
District: 11
Parcel Number: 45073.0209
SiteAddress: 2019 N ELY RD
SPOKANE, WA 99212
Location:: SPO
Zoning: UR -3.5
Water District:
Block:
Urban Residential 3.5
Lot:
Owner: Name: LYBARGER, TRACY
Address: 2019 N ELY RD
SPOKANE, WA 99212
Hold: ❑
Area: 0 Sq Ft Width: 75 Depth: 120 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Department Review
ENGINEER Road Obstruction
Permits:
Hold Reasons:
Released By
Permit Conditions: C 1 Si3ei&O2
Sewer Permit
Contractor: VIETZKE EXCAVATING Firm: VIETZKE EXCAVATING
Address: 2011 S CRAIG RD #1
MEDICAL LAKE, WA 99022
Item Description
SEWER CONNECTION
PROCESSING FEE
Payment Summary:
Operator: MKC
Permit Type
Sewer Permit
Notes:
Phone: (509) 244-9607
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Permit Total Fees:
Fee Amount
$85.00
$15.00
$100.00
Printed By: MKC
Print Date:
Fee Amount Invoice Amount
$100.00 $100.00
$100.00 $100.00
Amount Paid
$0.00
5/8/01
Amount Owing
$100.00
$0.00
$100.00