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2001, 08-22 Permit App: 01007088 SewerProject Number: 01007088 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 8/22/01 Page 1 of 1 Project Information: NESENIEEMBISSEEINEFEMERSAr Permit Use: SEWER CONNECTION - EASTON B Setbacks: Front Left: Right: Rear: Site Information:EREMMIENAYPlat Key: 000000 Name: UNKNOWN Parcel Number: 45163.0324 Block: Contact: JIM HOUSER/ALLIED Address: 9317 S FREEMAN DR C - S - Z: MEDICAL LAKE WA 99022 Phone: (509) 924-8505 Group Name: Project Name: Lot: M District: F SiteAddress: 11114 E VALLEYWAY AVE Owner: Name: LOWDEN, C SPOKANE, WA USA 99206 Address: 11114 E VALLEYWAY Location:: SPO SPOKANE WA 99206 Zoning: UNKN Unknown Water District: Hold: ❑ Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Department Review ENGINEER Road Obstruction Hold Reasons: Permit Conditions: 06s 445 7 Permits: Contractor: ALLIED SEWER BORING Address: 9317 S FREEMAN DR MEDICAL LAKE, WA 99022 Item Description SEWER CONNECTION PROCESSING FEE Sewer Connection Permit Firm: ALLIED SEWER BORING COMPA Phone: (509) 924-8508 Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Fee Amount $85.00 $15.00 Permit Total Fees: $100.00 Payment Summary: Operator: JAS Printed By: JAS Permit Type Sewer Connection Permit Notes: Print Date: 8/22/01 Fee Amount Invoice Amount Amount Paid Amount Owing $100.00 $100.00 $0.00 $100.00 $100.00 $100.00 $0.00 $100.00