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2000, 04-19 Permit App: 00002878 SewerProject Number: 00002878 Inv: 1 Application Date: 04/19/2000 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SEWER CONNECTION - ARMSTRONG ESTATES Setbacks: Front Left: Right: Rear: Site Information: Plat Key: 005236 Name: ARMSTRONG ESTATES Contact: ROBERTS CONSTRUCTION Address: 6394 FELTON RD C - S - Z: NINE MILE FALLS, WA 99026 Phone: (509) 276-5387 Group Name: Project Name: District: F Parcel Number: 45134.2322 Block: 2 Lot: 22 SiteAddress: 16613 E MAIN AVE Owner: Name: HERSTEIN, GLENN VERADALE, WA USA 9903 Address: 17084 VIA ANOTA Location:: VER SAN LORENCO, CA 94580 Zoning: UR -3.5 Water District: Area: 11,873 Sq Ft Nbr of Bldgs: 1 Review Information: Urban Residential 3.5 Hold: Width: 85 Depth: 140 Right Of Way (ft): 50 Nbr of Dwellings: 1 Department UTILITIES Hold Reasons: Permit Conditions: Permits: Review Sewer Review By: Contractor: ROBERTS CONSTRUCTION Address: 6394 FELTON RD DEER PARK, WA 99026 Item Description SEWER CONNECTION PROCESSING FEE Sewer Permit Firm: WILLARD ROBERTS CONSTRUC Phone: (509) 276-3109 Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Fee Amount $85.00 $15.00 Permit Total Fees: $100.00 Project Number: 00002878 Inv: 1 Application Date: 04/19/2000 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary: Operator: CKF Permit Type Sewer Permit Printed By: CKF Print Date: 04/19/2000 Fee Amount Invoice Amount Amount Paid Amount Owing $100.00 $100.00 $0.00 $100.00 $100.00 $100.00 Notes: .r .. .., . BUILDINGS RESTRICTED TO 14 UNITS UNTIL PROPOSAL IS CONNECTED TO PUBLIC SEWER. BUILDING SETBACKS SHALL BE MEASURED 25 FEET FROM THE EDGE OF THE RESERVED FUTURE AQUISITION AREA. $0.00 $100.00