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2005, 07-06 Permit App: 05004792 Sewer
Project Number: 05004792 Inv: 1 Application Date: 7/6/2005 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: . .,. z.r.ti .2 -. - - .. - - - - x„ A.,rx✓ „_--,.u ,.,. - _� _e 5..aIDe�-�« ._�_.-.s✓.a, a..s Permit Use: SEWER CONNECTION-MOUNTAIN VIEW 3RD Contact: GREMY INC Address: 3922 S EAGLE LN C-S-Z: SPOKANE WA 99206 Setbacks: Front Left: Right: Rear: Phone: (509)924-9406 Group Name: Project Name: Site Information: Plat Key: Name: PRE APP(FEES) District: F Parcel Number: 45281.2702 Block: Lot: SiteAddress: 11612 E 19TH AVE Owner:Name: MINETTI.LEW Address: 11612 E 19TH AVE Location::CSV SPOKANE,WA 99212 Zoning: UNKN Unknown • Water District: Hold: ❑ Area: 10,245 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: .. Review { Review by Utilities Released By:ir\ ",r o: Gist,`i e city of vis4 .. I[ 1370 tr r )ZL OU?.L ) 0Q- . PeePtkr kg= 04• 48 y'S (mu, ou Stakx32. CaNN. I.JW. 01432, O 4G. PU1i1 ( 4%1°5o,°t act.. Permits: .<.. .. - _ UG i „_- ��<�.�.,_ �..,.�..e � ....>.. Sewer Connection Permit Contractor: GREMY INC Firm: GREMY INC Address: 3922 X EAGLE LANE Phone: (509)924-9406 SPOKANE,WA 99206 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 Operator: RMB Printed By: RMB Print Date: 7/6/2005