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2001, 08-14 Permit App: 01006809 SewerProject Number: 01006809 Inv: 1 Application THIS IS NOT A PERMIT Date: 8/14/2001 Page 1 of 1 Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SEWER CONNECTION - S. PONDEROSA Contact: SHORT SEPTIC SERVICE INC Address: 3350 WILLIAMS RD E C - S - Z: ALMIRA WA 99103 Setbacks: Front Left: Right: Rear: Phone: (509) 639-2393 Group Name: Site Information: Project Name: Plat Key: 001740 Name: MYRON ESTATES #4 District: Parcel Number: 44042.0805 Block: SiteAddress: 4515 S PIERCE CT SPOKANE, WA 99206 Location:: SPO Zoning: SFR Water District: Area: 0 Sq Ft Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Lot: Owner: Name: BAGWELL, DAVE Address: 4515 S PIERCE CT SPOKANE, WA 99206 Hold: Lil Depth: 0 Right Of Way (ft): 0 Department Review ENGINEER Road Obstruction Hold Reasons: Permit Conditions: t) SLO Lewt Permits: Releascd 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 Units Unit Desc Fee Amount SEWER CONNECTION 1 NUMBER OF $85.00 PROCESSING FEE 1 Y OR BLANK $15.00 Permit Total Fees: $100.00 Operator: MKC Printed By: MKC Print Date: 8/14/2001 Permit Type Sewer Permit Fee Amount Invoice Amount Amount Paid Amount Owing $100.00 $100.00 $0.00 $100.00 $100.00 $100.00 $0.00 $100.00