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HomeMy WebLinkAbout2001, 05-17 Permit App: 01003695 Sewer 4 Project Number: 01003695 Inv: 1 Application Date: 5/17/01 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: A+DRAIN&SEWER SERVICE INC Address: 4923 N CONKLIN RD C-S-Z: SPOKANE,WA 99216 Setbacks: Front Left: Right: Rear: Phone: (509)891-2280 Group Name: Site Information Project Name: Plat Key: 002579 Name: SUNNYVALE ADDITION District: H Parcel Number: 45011.1001 Block: Lot: SiteAddress: 16612 E WELLESLEY AVE Owner:Name: GROTHMAN,HOWARD SPOKANE,WA 99216 Address: 16612 E WELLESLEY AVE Location::SPO SPOKANE,WA 99216 Zoning: AGSUB Water District: Hold: ❑ Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: ,a_F � _. Department Review ENGINEER Road Obstruction Released By: Hold Reasons: Permit Conditions: Ol S1„ 02i! S - — ewer Permit Contractor: A+DRAIN&SEWER SERVICE Firm: A+CONSTRUCTION Address: 4923 N CONKLIN RD Phone: (509)891-2280 SPOKANE,WA 99216 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: CKF Printed By: CKF Print Date: 5/17/01 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Sewer Permit $100.00 $100.00 $0.00 $100.00 $100.00 $100.00 $0.00 $100.00 Notes: