2001, 08-22 Permit App: 01007090 SewerProject Number: 01007090 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 8/22/01 Page 1 of 2
Project Information:
Permit Use: SEWER CONNECTION - VALLEY VISTA Contact: JIM HOUSER/ALLIED
Address: 9317 S FREEMAN DR
C - S - Z: MEDICAL LAKE WA 99022
Setbacks: Front Left: Right: Rear: Phone: (509) 924-8505
Group Name:
Project Name:
Site Information:
Plat Key: 001837 Nanie: OPP.TR. 1-354 District: F
Parcel Number: 45171.0515 Block:
SiteAddress: 1411 N FELTS RD
SPOKANE, WA USA 99203
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: 8,800 Sq Ft Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Lot:
Owner: Name: BATAI, KATALIN
Address: 1423 S ADAMS ST
SPOKANE, WA 99203-1033
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Parcel Number: 45171.0516 Block: Lot:
SiteAddress: 1411 N FELTS RD Owner: Name: KATALIN BATAI
SPOKANE, WA USA 99203 Address: 1423 S ADAMS
Location:: SPO SPOKANE WA 99203
Zoning: UR -3.5
Water District:
Area: 0 Sq Ft
Urban Residential 3.5
Width: 0
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: .
Department Review
ENGINEER Road Obstruction
Released By: .I X " �� — O(
Hold Reasons: Q
Permit Conditions: 0 / SL.A/506
Permits:
Server Connection Permit
Contractor: ALLIED SEWER BORING Firm: ALLIED SEWER BORING COMPA
Address: 9317 S FREEMAN DR Phone: (509) 924-8508
MEDICAL LAKE, WA 99022
Item Description
SEWER CONNECTION
PROCESSING FEE
Units Unit Desc Fee Amount
1 NUMBER OF $85.00
1 Y OR BLANK $15.00
Permit Total Fees: $ 100.00
Project Number: 01007090 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary:
Operator: JAS Printed By: JAS Print Date: 8/22/01
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Sewer Connection Permit $100.00 $100.00 $0.00 $100.00
Date: 8/22/01 Page 2 of 2
$100.00 $100.00 $0.00 $100.00
Notes• , -