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2001, 04-25 Permit App: 01002865 Sewer, Plumbing FixturesProject Number: 01002865 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/25/01 Page 1 of 2 Project Information: Permit Use: SEWER CONNECTION-WELLESLEY MANOR/TOI, SINK, SHWR & PL REV Setbacks: Front Left: Right: Rear: Site Information: Plat Key: 002846 Name: WELLESLEY MANOR ADD iffelatPeatIRMINAWNERMAIMICAVOIMIContact: VISTA CONSTRUCTION & DEV Address: 3420 N. TSCHIRLEY RD C - S - Z: SPOKANE, WA 99216 Phone: (509) 926-2243 Group Name: Project Name: District: Parcel Number: 45012.1309 Block: SiteAddress: 15708 E LONGFELLOW AVE SPOKANE, WA 99216 Location:: SPO Zoning: AGSUB Water District: Area: 0 Sq Ft Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: Review Information: 1 Lot: Owner: Name: WOLD, LOREN Address: 15708 E LONGFELLOW AVE SPOKANE, WA 99216 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Department ENGINEER Permits: Hold Reasons: Review Road Obstruction Permit Conditions: 0 1 - .x5 / 71 Contractor: VISTA CONSTRUCTION & Address: 3420 N TSCHIRLEY RD #1 SPOKANE, WA 99216 Item Description TOILETSBIDETS SINKS SHOWERS WATER PIPING - DWV PROCESSING FEE Plumbing Permit Firm: VISTA CONSTRUCTION & DEV Phone: (509) 926-2243 Units Unit Desc 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 Y OR BLANK Fee Amount $6.00 $6.00 $6.00 $6.00 $25.00 Permit Total Fees: $49.00 Project Number: 01002865 Inv: 1 Applicatior"1 - THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/25/01 Page 2 of 2 Sewer Permit Contractor: VISTA CONSTRUCTION & Firm: VISTA CONSTRUCTION & DEV Address: 3420 N TSCHIRLEY RD #1 Phone: (509) 926-2243 SPOKANE, WA 99216 Item Description SEWER CONNECTION PROCESSING FEE Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Payment Summary: Operator: MKC Printed By: MKC Permit Type Plumbing Permit Sewer Permit Notes: Fee Amount $49.00 $100.00 Permit Total Fees: Print Date: Invoice Amount $49.00 $100.00 $149.00 $149.00 Fee Amount $85.00 $15.00 Amount Paid $0.00 $0.00 $100.00 4/25/01 Amount Owing $49.00 $100.00 $0.00 $149.00