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1999, 11-15 Permit App: 99011040 SewerProject Number: 99011040 Inv: 1 Applitatid t Date: 11/15/19 Page 1 of 1 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SEWER CONNECTION Setbacks: Front Left: Right: Rear: Site Information: �n„itxv�,•�`44k?°i,t�' P�';i?;eyj4 �x � ,..:vx3"P94KufA:s"d4+'�'+#V ;%r .:.: "Jkl ,&.:5@+,�:^�P�x'y,' ` e��, °R`�” Plat Key: 000501 Name: CORBIN ADD TO GREENACRES VONSTMEORMNAMSZIT Contact: WALDORF CONSTRUCTION Address: PO BOX 840 C - S - Z NEWMAN LAKE, WA 99025 Phone: (509) 226-2055 District: G Parcel Number: 55191.0414 SiteAddress: 111 S LONG RD Owner: Name: INGALLS, RICHARD & CHER SPOKANE, WA 99016 Address: 111 S LONG RD Location:: SPO SPOKANE, WA 99016 Zoning: UR -3.5 Water District: Urban Residential 3.5 Hold: ❑ Area: 0 Sq Ft Width: 110 Depth: 332 Right Of Way (ft): 45 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Department Review UTILITIES Sewer Review Permits: Sewer Permit Contractor: WALDORF CONSTRUCTION Firm: RICHARD WALDORF/WALDORF Address: PO BOX 840 Phone: (509) 226-0880 NEWMAN LAKE, WA 99025 Item Description SEWER CONNECTION PROCESSING FEE Payment Summary: Operator: CKF Permit Type Sewer Permit $100.00 $100.00 Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Permit Total Fees: Printed By: CKF Print Date: Fee Amount $85.00 $15.00 $100.00 11/15/1999 Fee Amount Invoice Amount Amount Paid Amount Owing $0.00 $100.00 $100.00 Notes: $100.00 $0.00 $100.00