2001, 04-11 Permit App: 01002422 SewerProject Number: 01002422 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 4/11/01 Page 1 of 2
Project Information:
Permit Use: SEWER CONNECTION - MEADOWVIEW RANCH
ESTATES - 2ND ADDN
Setbacks: Front
Site Information:
Contact: THE CUSTOM HOME STORE
Address: 39978 N SHORE LN
C - S - Z: LOON LAKE WA 99148
Left: Right: Rear: Phone: (509) 233-9188
Group Name:
Project Name:
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Plat Key: 005732 Name: MEADOWVIEW RANCH ESTATES 2ND ADD
District: G
Parcel Number: 55203.0804 Block: 1
SiteAddress: 804 S JOEL RD
GREENACRES, WA USA 99016
Location:: GRE
Zoning: UR -3.5
Water District:
Area: 15,670 Sq Ft
Nbr of Bldgs: 1
Review Information: Q.,
Urban Residential 3.5
Lot: 4
Owner: Name: HALLADAY, MICHAEL
Address: 5312 N VISTA GRANDE DR
OTIS ORCHARDS, WA 99027
Hold: ❑
Width: 135 Depth: 110 Right Of Way (ft): 50
Nbr of Dwellings: 1
Department
UTILITIES
Hold Reasons:
Permit Conditions:
Permits:
Review
Review by Utilities
Released By:
Contractor: LONG EXCAVATING
Address: PO BOX 314
CLAYTON, WA 99110
Sewer Permit
Firm: LONG EXCAVATING
Phone: (050) 927-6187
Item Description Units Unit Desc
SEWER CONNECTION 1 NUMBER OF
PROCESSING FEE 1 Y OR BLANK
Fee Amount
$85.00
$15.00
Permit Total Fees: $100.00
Project Number: 01002422 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary:
Operator: CKF
Permit Type
Sewer Permit
Date: 4/11/01 Page 2 of 2
Notes: ' ,: 55; V '.tom:.. 0:
Printed By: CKF Print Date:
4/11/01
Fee Amount Invoice Amount Amount Paid Amount Owing
$100.00 $100.00
$100.00
$100.00
$0.00 $100.00
$0.00 $100.00
NESPE;41111714P411111111111VILIMISSIIIMMORMM
OK TO ISSUE BUILDING PERMITS. DO NOT ISSUE SEWER PERMITS -
PER BILLY 3/31/98 OK TO ISSUE SEWER PERMIT PER BILLY FOR
FOLLOWING (6/23/98) BLOCK 1 - LOTS 1 THRU 6, 13, 14 BLOCK
2 - LOTS 1 THRU 4