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2001, 03-23 Permit App: 01001777 SewerProject Number: 01001777 Inv: 1 App? i cati on THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 3/23/01 Page 1 of 2 Project Information: w Permit Use: SEWER CONNECTION - EASTON Contact: NORM'S EXCAVATING Address: P.O. BOX 574 C - S - Z: VERADALE, WA 99037 Setbacks: Front Left: Right: Rear: Phone: (509) 928-0580 Group Name: Site Information: Project Name: Plat Key: 003385 Name: STAUFFER'S ADD District: E Parcel Number: 45084.1002 Block: Lot: SiteAddress: 10011 E MISSION AVE SPOKANE, WA 99206 Location:: SPO Zoning: AGSUB Water District Owner: Name: BATZ, BEA Address: 10011 E MISSION AVE SPOKANE. WA 99206 Hold: ❑ Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bides: 1 Nbr of Dwellings: 1 Review Information: Department Review UTILITIES Review by Utilities Hold Reasons: Pemut Conditions: Released By: OK PER B URHAUSEN VIA PHONE. Originally Released: 3/23/01 By: KCUMMIN ENGINEER Road Obstruction Released By: 3 93ol l--Iold Reasons: Pernut Conditions' 0» SCG 8J Permits: Contractor: NORM'S EXCAVATING Address: PO BOX 574 VER4DALE, WA 99037 Item Description SEWER CONNECTION PROCESSING FEE Sewer Perm it Firm: NORM'S BOBCAT SERVICE Phone. (509) 928-0580 Units Unit Desc 1 NUMBER OF 1 1' OR BLANK Fee Amount $85.00 $15.00 Permit Total Fees: $100.00 Project Number: 01001777 Inv: 1 -f Application THIS IS NOT A PERMIT Date: 3/23/01 Page 2 of 2 Penalties will be assessed for commencing work without a permit Payment Summary: , Operator: MKC Printed By: MKC Print Date: 3/23/01 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Sewer Permit $100.00 $100.00 $0.00 $100.00 Notes: $100.00 $100.00- • $0.00 $100.00