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2001, 04-23 Permit App: 01002779 Sewer Project Number: 01002779 Inv: 1 Application Date: 4/23/01 Page 1 of 1 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project In formation: Permit Use: SEWER CONNECTION-MIDILOME EAST 2ND 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: Site Information: Project Name: Plat Key: 006071 Name: MIDILOME EAST 2ND District: F Parcel Number: 45342.1201 Block: 4 Lot: 1 SiteAddress: 12802 E 36TH AVE Owner:Name: CLIFF SCHMITZ CONST 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: 11,539 Sq Ft Width: 93 Depth: 125 Right Of Way(ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Department Review 4. / UTILITIES Review by Utilities Release �l Hol Reasons: Permit. nditions: 1,, . Sewer Permit Contractor: CLIFF SCHMITZ CONSTRUCTION Firm: CLIFF SCHMITZ CONSTRUCTION Address: 16520 E SECRETARIAT Phone: (509)922-4297 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: RMB Printed By: RMB Print Date: 4/23/01 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