2001, 10-04 Permit App: 01008674 SewerProject Number: 01008674 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/4/2001 Page 1 of 1
Project Information:
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Permit Use: SEWER CONNECTION - WELLESLEY MANOR
Setbacks: Front Left: Right: Rear:
Site Information:
Plat Key: 000723 Name: ELLER'S ADD
Contact: INLAND EXCAVATING & CONSTRUCT
Address: 3417 W OLSON RD
C - S - Z: DEER PARK, WA 99006
Phone: (509) 276-8500
Group Name:
Project Name:
District: H
Parcel Number: 45011.0302 Block:
SiteAddress: 4325 N LILLIAN RD
VERADALE, WA USA 99037
Location:: VER
Zoning: UR -3.5
Water District:
Urban Residential 3.5
Lot:
Owner: Name: HUDSON, DONALD E & MARGAR
Address: 40211 S PRAIRIE VIEW RD
ROSALIA, WA 99170-9712
Hold: ❑
Area: .00 Acres Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Department Review
ENGINEER Road Obstruction
Hold Reasons:
Permit Conditions:
ers AA KG, 06
Sewer Connection Permit
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Contractor: INLAND EXCAVATING & CONST Firm: INLAND EXCAVATING & CONST
Address: 3417 W OLSON RD
DEER PARK, WA 99006
Phone: (509) 276-8500
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
Payment n Summary:
v
Operator: MKC Printed By: MKC Print Date: 10/4/2001
Permit Type
Sewer Connection Permit
Notes:
Fee Amount Invoice Amount Amount Paid Amount Owing
$100.00 $100.00 $0.00 $100.00
$100.00 $100.00 $0.00 $100.00