2001, 08-23 Permit App: 01007166 Sewer •
Project Number: 01007166 Inv: 1 Application Date: 8/23/2001 Page 1 of 1
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
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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: 002851 Name: WELLESLEY MANOR 4TH ADD District: F
Parcel Number: 46363.0312 Block: Lot:
SiteAddress: 15916 E WABASH AVE Owner:Name: DAVIS,GREGORY A
SPOKANE,WA 99216 Address: 15916 E WABASH AVE
Location::SPO SPOKANE,WA 99216
Zoning: SFR
Water District: Hold: ❑
Area: 0 Sq Ft Width: 96 Depth: 128 Right Of Way(ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
ev'ew In ormation: ..
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Department Review
ENGINEER Road Obstruction Released By: )
Hold Reasons:
Permit Conditions: C��' I sed60. f
ermits:
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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
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Operator: MKC Printed By: MKC Print Date: 8/23/2001
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
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