2001, 05-14 Permit App: 01003528 Sewer Project Number: 01003528 Inv: 1 Application Date: 5/14/01 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SEWER CONNECTION-MIDILOME EAST 1ST Contact: CLIFF SCHMITZ CONSTRUCTION
Address: 16520 E SECRETARIAT
C-S-Z: VERADALE,WA 99037
Setbacks: Front Left: Right: Rear: Phone: (509)922-4297
Group Name:
Project Name:
Site Information:
Plat Key: 005828 Name: MIDILOME EAST 1ST District: F
Parcel Number: 45342.0401 Block: 3 Lot: 1
SiteAddress: 13023 E 33RD CT Owner:Name: CLIFF SCHMITZ CONSTRUCT
SPOKANE,WA USA 00000 Address: 16520 E SECRETARIAT
Location::SPO VERADALE,WA 99037
Zoning: UR-3.5 Urban Residential 3.5
Water District: Hold: ❑
Area: 13,450 Sq Ft Width: 77 Depth: 140 Right Of Way(ft): 50
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information: , �. .,., . a
Department Review ff
UTILITIES Review by Utilities h Released By:
Hold Reasons:
Permit Conditions:
Sewer Permit
Contractor: FOLSOM EXCAVATING INC Firm: FOLSOM EXCAVATING
Address: 16701 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
Project Number: 01003528 Inv: 1 Application Date: 5/14/01 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary:
Operator: CKF Printed By: CKF Print Date: 5/14/01
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
DO NOT ISSUE SEWER PERMITS WITHOUT APPROVAL OF UTILITIES
PER ROGER 12/3/97 OK TO ISSUE SEWER PERMITS FOR PORTIONS
OF PLAT- SEE MAP IN PLAT FILE PER BILLY 4/24/98
OK TO ISSUE SEWER PERMIT FOR LOT 2-BLOCK 3 ONLY PER MIKE
FLUGEL 9/30/98