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2002, 06-03 Permit Application: 02004327 SewerProject Number: 02004327 Inv: 1 Application THIS IS NUT -A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/3/02 Page 1 of 2 Project Information: Permit Use: SEWER CONNECTION - BECKER'S RIDGE Setbacks: Front Left: Site Information: Right: Rear: Plat Key: 006127 Name: BECKER'S RIDGE Parcel Number: 45261.6004 Block: SiteAddress: 2302 S BECKER LN SPOKANE, WA USA 00000 Location:: SPO Zoning: UR -3.5 Water District: Area: 10,437 Sq Ft Nbr of Bldgs: 0 Urban Residential 3.5 Width: 0 Nbr of Dwellings: 0 Review Information: � .... Contact: DEARHEART CONSTRUCTION CO Address: 11518 E ALKI AVE C - S - Z: SPOKANE, WA 99206 -5101 Phone: (509) 927 -7279 Group Name: Project Name: Lot: District: F Owner: Name: DEARHEART CONSTRUCTION C Address: 11518 E ALKI AVE SPOKANE, WA 99206 -5101 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Review by Utilities Permits: Contractor: Address: DEARHEART DESIGN HOMES 11518 E ALKI AVE SPOKANE, WA 99206 Item Description SEWER CONNECTION PROCESSING FEE Released By: ' "a Sewer Connection Permit Firm: DEARHEART DESIGN HOMES Phone: Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Operator: JEF Printed By: JEF Permit Total Fees: (509) 927-7279 Print Date: Fee Amount $85.00 $15.00 $100.00 6/3/02 Project Number: 02004327 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/3/02 Page 2 of 2 Notes: ... *. Payment Summary: MMIG 10, .3 Permit Type Sewer Connection Permit Fee Amount $100.00 Invoice Amount $100.00 Amount Paid Amount Owing $0.00 $100.00 $100.00 $100.00 $0.00 $100.00 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be contrued to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: JEF Printed By: JEF Print Date: 6/3/02