2001, 08-24 Permit App: 01007220 Sewer Project Number: 01007220 Inv: 1 Application Date: 8/24/2001 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: INLAND EXCAVATING& CONSTRUCT
Address: 3417 W OLSON RD
C- S -Z: DEER PARK,WA 99006
Setbacks:Front Left: Right: Rear: Phone: (509)276-8500
Group Name:
Site Information: Project Name:
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Plat Key: 002847 Name: WELLESLEY MANOR 1ST ADD District: H
Parcel Number: 45012.2402 Block: 4 Lot: 2
SiteAddress: 16122 E WELLESLEY AVE Owner:Name: STEWART,GEORGIA
SPOKANE,WA USA 00000 Address: 16122 E WELLESLEY AVE
Location:: SPO SPOKANE,WA 99216
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 16,120 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
n ormation: :.
Review I
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Department Review
ENGINEER Road Obstruction -- }
Released By: C :(
Hold Reasons:
Permit Conditions: Q I S Y'l iK -37j42)
er its: ..................................................
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Sewer Connection Permit
Contractor: INLAND EXCAVATING&CONST Firm: INLAND EXCAVATING& CONST
Address: 3417 W OLSON RD Phone: (509)276-8500
DEER PARK,WA 99006
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: RMB Printed By: RMB Print Date: 8/24/2001
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