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2000, 10-05 Permit App: 00006796 Sewer Project Number: 00006796 Inv: 1 Application Date: 10/05/2000 Page 1 of 1 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SEWER CONNECTION-MIDILOME EAST 2ND- Contact: CLIFF SCHMITZ CONSTRUCTION DRY LINE ONLY Address: 5722 N VISTA GRANDE CIR C-S-Z: OTIS ORCHARDS,WA 99207 Setbacks:Front Left: Right: Rear: Phone: (509)922-4297 Group Name: Site Information: Project Name: Plat Key: 006071 Name: MIDILOME EAST 2ND District: F Parcel Number: 45345.9119 Block: 3 Lot: 5 SiteAddress: 3502 S VIRGINIA RD Owner: Name: CLIFF SCHMITZ SPOKANE,WA USA 00000 Address: 16520 E.SECRETARIAT Location::SPO VERADALE,WA 99037 Zoning: UR-3.5 Urban Residential 3.5 Water District: 007 MODEL Hold: ❑ Area: 11,150 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review In formation: Department Review UTILITIES Review by Utilities Release4-") C7—‘5` C30. Hold sons• (..t_..1 �' ,�" Permit Conditions:,, t3 E TiIZ-/ 1- �� -_ - - Permits: Sewer Permit Contractor: CLIFF SCHMITZ CONSTRUCTION Firm: CLIFF SCHMITZ CONSTRUCTION Address: N.5722 VISTA GRANDE DR Phone: (509)922-4297 OTIS ORCHARDS,WA 99027 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 Payment Summary: Operator: RMB Printed By: RMB Print Date: 10/05/2000 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Sewer Peiinit $100.00 $100.00 $0.00 $100.00 $100.00 $100.00 $0.00 $100.00 Notes: