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2001, 09-27 Permit App: 01008437 SewerProject Number: 01008437 Inv: 1 Application THIS IS NOT A PERMIT Date: 9/27/2001 Page 1 of 1 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: 002579 Name: SUNNYVALE ADDITION District: H Parcel Number: 45011.1005 Block: 4 SiteAddress: 4708 N SUNNYVALE DR SPOKANE, WA USA 00000 Location:: SPO Lot: 5 Owner: Name: WEBER, ROBERT Address: 4204 E. SPRAGUE AVE SPOKANE, WA 99202 Zoning: UR -3.5 Urban Residential 3.5 Water District Hold: ❑ Depth: 0 Right Of Way (ft): 0 Area: 11,900 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Department Review ENGINEER Road Obstruction Permits: Hold Reasons: Permit Conditions: O l _SEW, &SI Sewer Connection Permit Contractor: VIETZKE EXCAVATING Firm: VIETZKE EXCAVATING Address: 2011 S CRAIG RD #1 MEDICAL LAKE, WA 99022 Phone: (509) 244-9607 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 P ment umma . S ay rv•: Operator: RMB Printed By: RMB Print Date: 9/27/2001 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