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2001, 02-27 Permit App: 01001103 SewerProject Number: 01001103 Inv: 1 Application THIS JS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 2/27/01 Page 1 of 1 Project Information: _ Permit Use: SEWER CONNECTION - RIDGEMONT EST NORTH 9TH ADDN Setbacks: Front Left: Right: Rear: Site Information: IMCVMMVAINIENENEMBEINAMEINMVSMMW Plat Key: 006067 Name: RIDGEMONT ESTATES NORTH 9TH ADD Contact: LANZCE G DOUGLASS Address: 8510 N CRESTLINE ST C - S - Z: SPOKANE, WA 99217 Phone: (509) 483-6532 Group Name: Project Name: District: F Parcel Number: 45252.5102 Block: 2 SiteAddress: 1813 S LIMERICK DR VERADALE, WA USA 99037 Location:: VER Zoning: UR -33 Water District: Area: 12,150 Sq Ft Nbr of Bldgs: 1 Urban Residential 3.5 Width: 90 Nbr of Dwellings: 1 Review Information:, Department UTILITIES Hold Reasons: Permit Conditions: Permits: Review Review by Utilities Lot: 2 Owner: Name: LANZCE G DOUGLASS Address: 8510 N CRESTLINE ST SPOKANE, WA 99217 Hold: ❑ Depth: 135 Right Of Way (ft): 50 Contractor: CANNON EXCAVATING INC Address: PO BOX 28778 SPOKANE, WA 99228 Item Description SEWER CONNECTION PROCESSING FEE Units 1 1 Sewer Permit Firm: CANNON EXCAVATING INC Phone: (509) 467-6522 Unit Desc NUMBER OF Y OR BLANK Permit Total Fees: Payment Summary: memEmemaggeggwassmegayamommegnssysvg Operator: MKC Printed By: MKC Permit Type Sewer Permit Notes: Print Date: Fee Amount Invoice Amount $100.00 $100.00 $100.00 Fee Amount $85.00 $15.00 Amount Paid $0.00 $100.00 2/27/01 Amount Owing $100.00 $100.00 $0.00 $100.00 EWE. PE12MIT 122! FA E - AKIOMITTAL LOCATION .5 E.E.- LOLD - • O 1 Iola pelmlis Xissue pcin4lls f7 Coinllilans O investigation fee . O Re -Inspection fee 0 Other • COMNMEI•ITS O V., 10 ‘s6,1AE,sz,„15 fa A oize. E L L► .1.43 F C �►� Ll RILFIS/A_CD.;.04— Dale �'Z�� 0 E, �. nno�n'� Fs -}.Nov -4101 4$Z55. Aon2. L 7752 41� on+ es+ hqth Liettev %c -V—, 457-55 A04 2) 1..2/5,z t iv, D° V't*