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2000, 10-05 Permit App: 00008071 Sewer r • 1 Project Number: 00008071 Inv: 1 Application Date: 10/05/2000 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-MIDILOME EAST 2ND- Contact: CLIFF SCHMITZ CONSTRUCTION DRY LINE ONLY 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: 45342.1205 Block: 4 Lot: 5 SiteAddress: 12820 E 36TH AVE 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: 10,000 Sq Ft Width: 80 Depth: 125 Right Of Way(ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Department Review UTILITIES Sewer Review LRelease+ + .,�� e ,a& Hold J Hold easons: Permit Conditions. \F- t t- `k tS l� 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: RMB Print Date: 10/05/2000 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: