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2001, 06-29 Permit App: 01005279 SewerProject Number: 01005279 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/29/2001 Page 1 of 1 Project Information: Permit Use: SEWER CONNECTION - SOUTH PONDEROSA Contact: SHORT SEPTIC SERVICE INC Address: 3350 WILLIAMS RD E C - S - Z: ALMIRA WA 99103 Setbacks: Front Left: Right: Rear: Phone: (509) 639-2393 r4_%.Soy 637 - .Z CC 7 Group Name: Site Information: Project Name: Plat Key: 000000 Name: UNKNOWN District: F Parcel Number: 45333.0506 Block: Lot: SiteAddress: 4114 S FOREST MEADOWS DR Owner: Name: FABBIANO, MICHAEL P & AN SPOKANE, WA USA 00000 Address: 4114 S FOREST MEADOWS DR Location:: SPO SPOKANE, WA 99206-8658 Zoning: UR -3.5 Urban Residential 3.5 Water District Hold: ❑ Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Department, ENGINEER Hold Reasons: Review Road Obstruction d Permit Conditions: ®l SL. ? / / Contractor: SHORT SEPTIC SERVICE INC Address: 3350 WILLIAMS RD E Phone: (509) 639-2393 ALMIRA WA 99103 Sewer Permit Firm: SHORT SEPTIC SERVICE INC Item Description SEWER CONNECTION PROCESSING FEE Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Fee Amount $85.00 $15.00 Permit Total Fees: $100.00 PaymentS u mm Operator: RMB Printed By: RMB Print Date: 6/29/2001 Permit Type Sewer Permit Fee Amount Invoice Amount Amount Paid Amount Owing $100.00 $100.00 $0.00 $100.00 $100.00 $100.00 $0.00 $100.00