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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• , -