2001, 09-14 Permit App: 01007896 Sewer Project Number: 01007896 Inv: 1 Application Date: 9/14/2001 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-HUTCHINSON 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: 001623 Name: MICHENER'S REPLAT District: F
Parcel Number: 45182.0628 Block: Lot:
SiteAddress: 1504 N VISTA RD Owner:Name: STEVENS,GERALD G.
SPOKANE,WA 99212 Address: 1504 N VISTA RD
Location:: SPO SPOKANE,WA 99212
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 40
Nbr of Bldgs: 1 Nbr of Dwellings: 0
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Revs
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Department Review
ENGINEER Road Obstruction
) /Released By: " /
Hold Reasons:
Permit Conditions: O t S 5J5< 5
ermits: ..........................................................................................................................
P
Sewer Connection Permit
Contractor: VIETZKE EXCAVATING Firm: VIETZKE EXCAVATING
Address: 2011 S CRAIG RD#1 Phone: (509)244-9607
MEDICAL LAKE,WA 99022
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: MKC Printed By: MKC Print Date: 9/14/2001
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