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2001, 08-02 Permit App: 01006365 SewerProject Number: 01006365 Inv: 1 t Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 8/2/01 Page 1 of 1 Proiect Information: Permit Use: SEWER CONNECTION - PONDEROSA Setbacks: Front Site Information: Contact: SHORT SEPTIC SERVICE INC Address: 3350 WILLIAMS RD E C - S - Z: ALMIRA WA 99103 Left: Right: Rear: Phone: (509) 639-2393 Group Name: Project Name: Plat Key: 001740 Name: MYRON ESTATES #4 District: E Parcel Number: 44042.0809 Block: Lot: SiteAddress: 4518 S PIERCE CT Owner: Name: DUGGER, JERRY SPOKANE, WA 99206 Address: 4518 S PIERCE CT Location:: SPO SPOKANE, WA 99206 Zoning: UR3.5 Water District: Hold: ❑ Area: 0 Sq Ft Width: 136 Depth: 140 Right Of Way (ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Department ENGINEER Hold Reasons: Permit Conditions: Review Road Obstruction ei&oe.134f Permits: Sewer Permit Contractor: SHORT SEPTIC SERVICE INC Firm: SHORT SEPTIC SERVICE INC Address: 3350 WILLIAMS RD E Phone: (509) 639-2393 ALMIRA WA 99103 Item Description SEWER CONNECTION PROCESSING FEE Payment Summary: Operator: CKF Permit Type Sewer Permit Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Permit Total Fees: Fee Amount $85.00 $15.00 $100.00 Printed By: CKF Print Date: 8/2/01 Fee Amount Invoice Amount Amount Paid Amount Owing $100.00 $100.00 $0.00 $100.00 $100.00 $100.00 $0.00 $100.00 Notes: