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2001, 03-05 Permit App: 01001199 SewerPrtj ect Number: 01001199 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 3/5/01 Page 1 of 2 Project Information: Permit Use: SEWER CONNECTION - SHELLEY LAKE Setbacks: Front Left: Right: Rear: Site Information: Plat Key: 005862 Name: SHELLEY LAKE Contact: LANZCE G DOUGLASS, INC Address: 815 E ROSEWOOD AVE C - S - Z: SPOKANE WA 99208 Phone: (509) 483-6532 Group Name: Project Name: District: F Parcel Number: 45242.1507 Block: 5 Lot: 7 SiteAddress: 516 S SONORA LN Owner: Name: LANZCE G DOUGLASS, INC VERADALE, WA USA 99037 Address: 815 E ROSEWOOD AVE Location:: VER SPOKANE WA 99208 Zoning: UR -3.5 Urban Residential 3.5 Water District: 010 VERA Hold: ❑ Area: 8,336 Sq Ft Width: 77 Depth: 114 Right Of Way (ft): 30 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: ,, Department UTILITIES Hold Reasons: Permit Conditions: Permits: Review Review by Utilities Contractor: CANNON EXCAVATING INC Address: PO BOX 28778 SPOKANE, WA 99228 Item Description SEWER CONNECTION PROCESSING FEE a Sewer Permit Firm: CANNON EXCAVATING INC Phone: (509) 467-6522 Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Fee Amount $85.00 $15.00 Permit Total Fees: $100.00 Project Number: 01001199 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary: Operator: DMD Permit Type Sewer Permit Date: 3/5/01 Page 2 of 2 Notes: Printed By: DMD Print Date: 3/5/01 Fee Amount Invoice Amount Amount Paid Amount Owing $100.00 $100.00 $0.00 $100.00 $100.00 $100.00 $0.00 OCCUPANCY IS DENIED ON ALL LOTS UNTIL FURTHER NOTICE FROM DN. OF UTILITIES PER GENE REPP 3/26/97 CKF OK TO ISSUE SEWER PERMITS FOR: BLOCK 2 - LOTS 3 THROUGH 10 & 1, 2 BLOCK 3 - LOTS 1 THROUGH 7 BLOCK 4 - LOTS 1 THROUGH 4 BLOCK 5 - LOTS 2 THROUGH 6 & 19 BLOCK 6 - LOTS 1 THROUGH 10 $100.00 7E\E12 i'E12M IT e2E! FA' ,E T AKIOM IT IAL. LOCATION S. 512. Aolvie.s 1 a'• 5 L(, Sonot-a. O Hula permits Issue Itctt:411s CI Cancllilnns O Investigation fee . Cl fie -Inspection fee l7 011ter • COMMENTS O\- Xfl 'Ave. -F .E.4 Egc:i2c1S464-2K",_ �4? 11� • �' �"�� I r'ODE.-4 GofY } Oa(e. 3/2101