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2001, 07-17 Permit App: 01005811 SewerProject Number: 01005811 Inv: 1 -',i. Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 7/17/01 Page 1 of 1 Project Information: Permit Use: SEWER CONNECTION - VALLEY VISTA Setbacks: Front Left: Right: Rear: Site Information: Plat Key: 004459 Name: SP -599 Contact: Z -BEST CONSTRUCTION Address: PO BOX 13421 C - S - Z: SPOKANE, WA. 99213 Phone: (509) 891-9949 Group Name: Project Name: District: Parcel Number: 45171.0917 SiteAddress: 10211 E JAMIE LN SPOKANE, WA 99206 Location:. SPO Zoning: UR -3.5 Water District: Area: 0 Sq Ft Block: Lot: Urban Residential 3.5 Owner: Name: ELLER, JAN Address: 10211 E JAMIE LN SPOKANE, WA 99206 Hold: ❑ Width: 201 Depth: 255 Right Of Way (ft): 40 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Department Review ENGINEER Road Obstruction Hold Reasons: Permit Conditions: Permits• Released By: V� rallkz_ro(c1) Contractor: Z BEST CONSTRUCTION Address: P O BOX 13241 AVE SPOKANE, WA 99213-3241 Item Description SEWER CONNECTION PROCESSING FEE Pavment Summar': Operator: CKF Permit Type _ Sewer Permit Notes: Sewer Permit Firm: Z BEST CONSTRUCTION Phone: (509) 891-9949 Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Permit Total Fees: Fee Amount $85.00 $15.00 $100.00 Printed By: CKF Print Date: 7/17/01 Fee Amount Invoice Amount $100.00 $100.00 $100.00 $100.00 Amount Paid $0.00 Amount Owing $100 00 $0.00 $100.00