1999, 11-09 Permit App: 99010860 SewerProject Number: 99010860 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 11/09/19 Page 1 of 1
Project Information:
Permit Use: SEWER CONNECTION - SHELLEY LAKE 2ND
Setbacks: Front
Left: Right: Rear:
Site Information:
Plat Key: 005977 Name: SHELLEY LAKE SECOND ADDIT
Contact: GEORGE H WHITE INC
Address: PO BOX 52
C - S - Z LIBERTY LAKE, WA 99019
Phone: (509) 994-2928
District: F
Parcel Number: 45242.2305
SiteAddress: 825 S SHELLEY LAKE LN Owner: Name: GEORGE H WHITE INC
VERADALE, WA USA 9903 Address: PO BOX 52
Location:: VER LIBERTY LAKE, WA 99019
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Hold: ❑
Area: 9,533 Sq Ft Width: 70 Depth: 136 Right Of Way (ft): 30
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Department
UTILITIES
Comments:
Permits:
Review
Sewer Review
Contractor: UNKNOWN
Address: UNKNOWN
UNKNOWN, WA UNKNOWN
Item Description
SEWER CONNECTION
PROCESSING FEE
Payment Summary:
Operator: CKF
Permit Type
Sewer Permit
Notes:
Sewer Permit
Firm: UNKNOWN
Phone: (000) 000-0000
Units Unit Desc
1 NUMBER OF
1 Y OR BLANK
Printed By: CKF
Permit Total Fees:
Fee Amount
$85.00
$15.00
$100.00
Print Date: 11/09/1999
Fee Amount Invoice Amount Amount Paid Amount Owing
$100.00 $100.00
$0.00 $100.00
$100.00
$100.00
$0.00
$100.00