2001, 06-04 Permit App: 01004206 SewerProject Number: 01004206 Inv: 1 4Xplication Date: 6/4/01 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 - PONDEROSA Contact: RICH WALDORF/AAA EXCAVATING
Address: BOX 840
C - S - Z: NEWMAN LAKE WA 99025
Setbacks: Front Left: Right: Rear: Phone: (509) 226-0880
Group Name:
Site Information: Project Name:
Plat Key: 001742 Name: MYRON ESTATES #6 District: E
Parcel Number: 44042.1611 Block: Lot:
SiteAddress: 11111 E 48TH AVE Owner: Name: BLOSSER, BILL
SPOKANE, WA 99206 Address: 11111 E 48TH 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: 1 Nbr of Dwellings: 1
Review Information:
Department Review
ENGINEER Road Obstruction Released By:
Hold Reasons:
Permit Conditions:%,fj J't_fjL�
Permits:
--=--------
- — Sewer Permit -
Contractor: AAA EXCAVATING
Address: 13906 N EAST NEWMAN LK RD
NEWMAN LAKE WA 99025
Item Description
SEWER CONNECTION
PROCESSING FEE
Firm: AAA EXCAVATING
Phone: (509) 226-0880
Units Unit Desc Fee Amount
1 NUMBER OF $85.00
1 Y OR BLANK $15.00
Permit Total Fees: $100.00
Payment.SummarV
Operator: JAS Printed By: JAS Print Date: 6/4/01
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:.