2001, 06-12 Permit App: 01004545 Sewer t
Project Number: 01004545 Inv. 1 Date: 6/12/01 Page 1 of 1
THIS IS NOT A PERMIT
Penalties will u e assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTIO -APPLE VALLEY Contact: ALLIED SEWER&BORING
Address: 9317 S FREEMAN DR
C-S-Z: MEDICAL LAKE,WA 99022
Setbacks: Front Left: 'ight: Rear: Phone: (509)924-8508
Group Name:
Site Information: Project Name:
Plat Key: 999999 Name: • • GE District: F
Parcel Number: 45213.9164 Block: Lot:
SiteAddress: 11324 E 11T AVE Owner: Name: JULIAN,SCOTT
SPOKANE, A 99206 Address: 11324 E 11TH AVE
Location::SPO SPOKANE,WA 99206
Zoning: UR-3.5 rban Residential 3.5
Water District: Hold: ❑
Area: 0 Sq Ft Width: 114 Depth: 194 Right Of Way(ft): 50
Nbr of Bldgs: 1 .r of Dwellings: 1
Review Information: w�: m
Department Revie
ENGINEER Road 1 bstruction Released By: a/
Hold Reasons:
Permit Conditions: Q � LAJ &g 41
Permits: r �., _ gym;
Sewer Permit
Contractor: ALLIED SEWER B t RING Firm: ALLIED SEWER BORING COMPA
Address: 9317 S FREEMAN DR Phone: (509)924-8508
MEDICAL LAKE, A 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
Payment Summary: �.
Operator: RMB P •nted By: RMB Print Date: 6/12/01
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: