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2001, 09-14 Permit App: 01007898 SewerProject Number: 01007898 Inv: 1 Application THIS IS NOT A PERMIT Date: 9/14/2001 Page 1 of 1 Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SEWER CONNECTION - FAIR ACRES Setbacks: Front Left: Right: Site Information: Plat Key: 000766 Name: FAIRACRES Rear: Contact: VIETZKE EXCAVATING Address: 2011 S CRAIG RD C - S - Z: MEDICAL LAKE, WA. 99022 Phone: (509) 535-4814 Group Name: Project Name: District: H Parcel Number: 45092.0763 Block: SiteAddress: 11007 E FAIRVIEW AVE SPOKANE, WA USA 00000 Location:: SPO Zoning: UR -3.5 Urban Residential 3.5 Water District: Area: 13,700 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Lot: Owner: Name: OIZENDAM, DAVID & ALISON Address: 9522 N WIEBER DR SPOKANE, WA 99208-9407 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Department Review ENGINEER Road Obstruction Hold Reasons: Permit Conditions: ' / 73J _59 Contractor: VIETZKE EXCAVATING Address: 2011 S CRAIG RD #1 MEDICAL LAKE, WA 99022 Item Description SEWER CONNECTION PROCESSING FEE Operator: MKC Permit Type Sewer Connection Permit ...................................... Sewer Connection Permit Firm: VIETZKE EXCAVATING 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: 9/14/2001 Fee Amount Invoice Amount Amount Paid Amount Owing $100.00 $100.00 $0.00 $100.00 $100.00 $100.00 $0.00 $100.00