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2001, 08-23 Permit App: 01007196 Sewer Project Number: 01007196 Inv: 1 App'iicati n 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: ............................................................................................................. Permit Use: SEWER CONNECTION-WELLESLEY MANOR Contact: GOBER&SON Address: 11215 E TRENT AVE C-S-Z: SPOKANE,WA 99206 Setbacks:Front Left: Right: Rear: Phone: (509)924-5372 Group Name: Site Information: Project Name: ................................................................................................................ Plat Key: 002849 Name: WELLESLEY MANOR 3RD ADD District: H Parcel Number: 46363.0124 Block: Lot: SiteAddress: 15905 E WELLESLEY AVE Owner:Name: SHELDON,DIRK SPOKANE,WA USA 99216 Address: 15905 E WELLESLEY AVE Location::SPO SPOKNE,WA 99216 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 12,685 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 ew n ormation: :. Revs I __.. .................. . f Department Review ENGINEER Road ObstructionReleased By: A.3, Hold Reasons: Permit Conditions: d'If 5 )FYII s: Permit Sewer Connection Permit Contractor: GOBER&SON&SON Firm: GOBER&SON&SON Address: 11215 E TRENT Phone: (509)924-5372 SPOKANE,WA 99206-4696 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 e t u ma Pamn m __ S 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 ..:..................................................................................................................................................................................................................................................................