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2001, 05-31 Permit App: 01004128 Sewer Project Number: 01004128 Inv: 1 Application Date: 5/31/01 Page 1 of 1 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project In formation: Permit Use: SEWER CONNECTION-APPLE VALLEY Contact: WARNER CONSTRUCTION Address: 1924 DRISKILL C-S-Z: NEWPORT,WA 99156 Setbacks:Front Left: Right: Rear: Phone: (509)993-9064 Group Name: Site In formation: Project Name: Plat Key: 001839 Name: OPP.TR. 1-354 District: F Parcel Number: 45212.0916 Block: Lot: SiteAddress: 11315 E 6TH AVE Owner:Name: MILLARD,JAMES SPOKANE,WA 99206 Address: 101 HIGH MEADOW'S Location::SPO RICHLAND,WA 98352 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review Information: - . , - �;P . E :� Department Review ENGINEER Road Obstruction Released By: NS4e) 3"-3/—©l Hold Reasons: Permit Conditions: 2/411 -.�G - - taotr -figALL •f /**1 Permits: k . 1.4,W4a aak-,.. -- a c, 2. Sewer Permit Contractor: WARNER CONSTRUCTION Firm: WARNER CONSTRUCTION Address: 3104 W.CLEVELAND Phone: (509)328-5726 SPOKANE,WA 99205 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: .,,. .ri ., Operator: MKC Printed By: MKC Print Date: 5/31/01 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: