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1999, 06-14 Permit App: 99005240 SewerProject Number: 99005240 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/14/99 Page 1 of 1 Project Information: Permit Use: SEWER CONNECTION - DRYLINE Setbacks: Front Left: Site Information: Plat Key: 005977 Name: SHELLEY LAKE SECOND ADDI Right: Rear: Contact: NOR -WEST DEVELOMENT Address: 3223 N MARKET ST C - S - Z SPOKANE, WA 99207 Phone: (509) 484-4090 District: F Parcel Number: 45245.9146 SiteAddress: 724 S SHELLEY LAKE LN VERADALE, WA USA 9903 Location:: VER Zoning: UR -3.5 Urban Residential 3.5 Water District: 010 VERA Area: 0 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Owner: Name: NOR -WEST DEVELOMENT Address: 3223 N MARKET ST SPOKANE, WA 99207 Hold: 0 Depth: 0 Right Of Way (ft): 0 Department UTILITIES Comments: Permits: Review Review by Utilities Contractor: NOR -WEST CONSTRUCTION Address: 3223 N MARKET SPOKANE, WA 99207 Item Description SEWER CONNECTION PROCESSING FEE Payment Summary: Operator: JAS Permit Type Sewer Permit Notes: Ott. 1e Mug Saltioilga Rau? c. (4.99 VI* Sewer Permit Firm: NOR -WEST CONSTRUCTION Phone: (509) 484-4090 Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Permit Total Fees: Fee Amount $85.00 $15.00 $100.00 Printed By: JAS Print Date: 6/14/99 Fee Amount Invoice Amount Amount Paid Amount Owing $100.00 $100.00 $0.00 $100.00 $100.00 $100.00 $0.00 $100.00 •