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1999, 07-16 Permit App: 99006451 Sewer Project Number: 99006451 Inv: 1 Application Date: 7/16/99 Page 1 of 1 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Proiect Information: Permit Use: SEWER CONNECTION-CHESTERFIELD Contact: ALLIED SEWER&BORING Address: 9317 S FREEMAN DR Setbacks:Front Left: Right: Rear: C-S-Z MEDICAL LAKE,WA 99022 Phone: (509)924-8505 Site Information: Plat Key: 003341 Name: CHESTER FIELD 1ST ADD District: F Parcel Number: 45332.3102 SiteAddress: 11004 E 37TH AVE Owner: Name: BUSHNELL,TERRY&CATHE SPOKANE,WA 99206 Address: 11004 E 37TH AVE Location::SPO SPOKANE,WA 99206 Zoning: SFR Water District: Hold: ❑ Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review Information: Department Review UTILITIES Review by Utilities Comments: 7//(p/q9 Perm s: ......................... . Sewer Permit Contractor: ALLIED SEWER BORING Firm: ALLIED SEWER BORING COMPA Address: 9317 S FREEMAN DR Phone: (509)924-8508 MEDICAL LAKE,WA 99022 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 a went S ................... .. Operator: RMB Printed By: RMB Print Date: 7/16/99 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: :::::::::