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2001, 02-27 Permit App: 01001107 SewerProject Number: 01001107 Inv: 1 Application Date: 2/27/01 Page 1 of 1 THIS IS NOT A PERMIT Penalties will be assessed fir commencing work without a permit Proiect Information: Permit Use: SEWER CONNECTION - RIDGEMONT EST Contact: LANZCE G DOUGLASS NORTH 9TH ADDN Address: 8510 N CRESTLINE ST C - S - Z: SPOKANE, WA 99217 Setbacks: Front Left: Right: Rear: Phone: (509) 483-6532 Group Name: Site Information: Project Name: Plat Key: 006067 Name: RIDGEMONT ESTATES NORTH 9TH ADD District: F Parcel Number: 45252.5107 Block: 2 SiteAddress: 16206 E 17TH CT VERADALE, WA USA 99037 Location:: VER Zoning: UR -3.5 Urban Residential 3.5 Water District: Area: 20,200 Sq Ft Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Lot: 7 Owner: Name: LANZCE G DOUGLASS Address: 8510 N CRESTLINE ST SPOKANE, WA 99217 Hold: ❑ Depth: 0 Right Of Way (ft): 50 Review Information: mss. m.......... a ,. Department Review UTILITIES Review by Utilities Hold Reasons: Permit Conditions: 5 Permits: -- Sewer Permit — -- -- Contractor: CANNON EXCAVATING INC Firm: CANNON EXCAVATING INC Address: PO BOX 28778 Phone: (509) 467-6522 SPOKANE, WA 99228 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: MKC Printed By: MKC Print Date: 2/27/01 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: , �* � � _ t om , . ;rfi. ,a .., :: MI. 177AL. LOCATION 5 Ef,= CI 1 Md pciiiills Cl liivesllpallun fee ' Issile iiaitt413 l; Re•Iinspeclluil fee 11 Cuiic1111olls U Other (o z oda EE- � `� i �J cci" 'o. i.. t i1t 1� 4 t L�� .L� Z.5� ��1'(a� �� l--'���y►L i� • � �m 441VI