2001, 08-23 Permit App: 01007168 SewerProject Number: 01007168
Inv: 1
I
Application
THIS IS NOT A PERMIT
Date: 8/23/2001
Penalties will be assessed for commencing work without a permit
Project Information:
.................................................................................................................................................... .
Permit Use: SEWER CONNECTION - WELLESLEY MANOR Contact: VIETZKE EXCAVATING
Address: 2011 S CRAIG RD
C - S - Z: MEDICAL LAKE, WA. 99022
Setbacks: Front Left: Right: Rear: Phone: (509) 535-4814
Group Name:
Site Information: Project Name:
...............................................................................................................................
Plat Key: 001984 Name: PEPLINSKIS 1ST ADDITION
District: 11
Parcel Number: 45011.0414 Block:
SiteAddress: 16322 E LONGFELLOW AVE
SPOKANE, WA USA 99216
Location:: SPO
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Area: .00 Acres
Width: 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information: .;
Lot:
Owner: Name:
Address:
KOCH, DOUGLAS D & MICHELL
16322 E LONGFELLOW AVE
SPOKANE, WA 99216-1519
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Page 1 of 1
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Department
ENGINEER
Hold Reasons:
Permit Conditions:
Review
Road Obstruction
dI SII3 5aCe
Contractor: VIETZKE EXCAVATING
Address: 2011 S CRAIG RD #1
MEDICAL LAKE, WA 99022
Item Description
SEWER CONNECTION
PROCESSING FEE
Payment Summary:
Operator: MKC
Permit Type
Sewer Connection Permit
Sewer Connection Permit
Firm: VIETZKE EXCAVATING
Phone: (509) 244-9607
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Permit Total Fees:
Fee Amount
$85.00
$15.00
$100.00
Printed By: MKC Print Date: 8/23/2001
Fee Amount Invoice Amount
$100.00 $100.00
$100.00 $100.00
Amount Paid Amount Owing
$0.00 $100.00
$0.00 $100.00