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2001, 01-02 Permit App: 01000023 Sewer
Project Number: 01000023 Inv: 1 Application Date: 1/2/01 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 Contact: BARNES,GARY Address: PO BOX 122 C-S-Z: LIBERTY LAKE,WA 99019 Setbacks:Front Left: Right: Rear: Phone: (509)255-9341 Group Name: Site Information: Project Name: Plat Key: 005959 Name: SP-1186 District: F Parcel Number: 45234.0721 Block: Lot: A SiteAddress: 15023 E E 11TH CT Owner: Name: BARNES,GARY VERADALE,WA USA 9903 Address: PO BOX 122 Location::VER LIBERTY LAKE,WA 99019 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 10,547 Sq Ft Width: 82 Depth: 128 Right Of Way(ft): 24 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: „„ Department Review UTILITIES Sewer Review Released By: ( � l� r Uv. Hold Reasons: f l 9'Q, % .l -0( Permit Conditions: v Permits: —- Sewer Permit Contractor: FOLSOM EXCAVATING Firm: FOLSOM EXCAVATING Address: 16401 E VALLEYWAY AVE Phone: (509)891-1232 VERADALE,WA 99037 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: 1/2/01 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: