2001, 08-23 Permit App: 01007167 Sewer Project Number: 01007167 Inv: 1 Application Date: 8/23/2001 Page 1 of 1
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION-WELLESLEY MANOR Contact: VIETZKE EXCAVATING
Address: 2011 S CRAIG RD
C-S-Z: MEDICAL LAKE,WA.99022
Setbacks: Front Left: Right: Rear: Phone: (509)535-4814
Group Name:
Site Information:
Project Name:
Plat Key: 002848 Name: WELLESLEY MANOR 2ND ADD District: H
Parcel Number: 45012.2504 Block: Lot:
SiteAddress: 16021 E RICH AVE Owner:Name: STANDOW,RANDY
SPOKANE,WA 99216 Address: 16021 E RICH
Location::SPO SPOKANE,WA 99216
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review In ormation: :.
f
Department Review
ENGINEER Road Obstruction Released By: 5' y-- i I
Hold Reasons: t
Permit Conditions: of S.6 a gam
Permits:
Sewer Connection Permit
Contractor: VIETZKE EXCAVATING Firm: VIETZKE EXCAVATING
Address: 2011 S CRAIG RD#1 Phone: (509)244-9607
MEDICAL LAKE,WA 99022
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
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Operator: MKC Printed By: MKC Print Date: 8/23/2001
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Sewer Connection Permit $100.00 $100.00 $0.00 $100.00
$100.00 $100.00 $0.00 $100.00
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