2001, 05-31 Permit App: 01004150 SewerProject Number: 01004150 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 5/31/01 Page 1 of 2
Proiect Information:
Permit Use: SEWER CONNECTION - SHELLEY LAKE 1ST
ADD
Setbacks: Front
Site Information:
Plat Key: 005947 Name: SHELLEY LAKE 1ST ADDITION
Left: Right: Rear:
,.,.. AMRGdr%
Contact: GEORGE H. WHITE INC.
Address: PO BOX 52
C - S - Z: LIBERTY LAKE, WA 99019
Phone: (509) 994-2928
Group Name:
Project Name:
District: F
Parcel Number: 45241.1819 Block: 1
Lot: 19
SiteAddress: 329 S SHELLEY LAKE LN Owner: Name: GEORGE H. WHITE INC.
VERADALE, WA USA 99037 Address: PO BOX 52
Location:: VER LIBERTY LAKE, WA 99019
Zoning: UR -3.5
Water District:
Area: 8,135 Sq Ft
Nbr of Bldgs: 0
Urban Residential 3.5
Width: 0
Nbr of Dwellings: 0
Review Information:
Hold: ❑
Depth: 0 Right Of Way (ft): 0
Denartment Review
UTILITIES Review by Utilities
Hold Reasons:
Permit Conditions:
ENGINEER
Hold Reasons:
Permit Conditions:
Permits:
OK PER G GREDVIG. KC
Originally Released: 5/31/01 By: KCUMMIN
Road Obstruction
Contractor:
Address:
Sewer Permit
NORTHWEST EXCAVATORS, INC Firm: NORTHWEST EXCAVATORS, INC
8307 N STANDARD Phone: (509) 466-7574
SPOKANE, WA 99208
Item Description
SEWER CONNECTION
PROCESSING FEE
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Fee Amount
$85.00
$15.00
Permit Total Fees: $100.00
Project Number: 010041 50 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary:
Operator: MKC
Permit Type
Sewer Permit
Date: 5/31/01 Page 2 of 2
Printed By: MKC
Print Date:
5/31/01
Fee Amount Invoice Amount Amount Paid Amount Owing
$100.00 $100.00 $0.00 $100.00
$100.00
$100.00
Notes:,•
DO NOT ISSUE SEWER PERMIT - OK TO ISSUE HOUSE PER ROGER
10/27/98
OK TO ISSUE SEWER PERMITS FOR:
BLK 4-L 1 BLK5-L2,16,18
BLK 6 - L 1,3,5,6,9,10 BLK 7 - L 1,2
$0.00
$100.00