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2002, 04-02 Permit App: 02002182 SewerProject Number: 02002182 Inv: 1 r, Application Date: 4/2/2002 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SEWER CONNECTION - Setbacks: Front Site Information: Left: Right: Rear: Contact: HARDING EXCAVATION Addrcss: E. 10303 15TH C - S - Z: SPOKANE, WA 99206 Phone: (509) 921-9467 Group Name: Project Name: Plat Key: 001852 Name: OPPORTUNITY(TR.1-142INC.143-354) District: Parcel Number: 45162.0533 Block: Lot: SiteAddress: 11105 E BOONE AVE Owner: Name: HORSTKETTER, JOHN & NANCY SPOKANE, WA 99206 Address: 11105 E BOONE AVE Location:: SPO Zoning: UR -3.5 Water District: Urban Residential 3.5 SPOKANE, WA 99206 Hold: n Area: 0 Sq Ft Width: 125 Depth: 261 Right Of Way OH: 60 Nbr of Bldgs: 2 Nbr of Dwellings: 1 Review Information: Review Road Obstruction o a. Stsktin_gt Released Bs - Contractor: HARDING EXCAVATION Address: E. 10303 ISTH AVE SPOKANE, WA 99206 Item Description SEWER CONNECTION PROCESSING FEE Sewer Connection Permit Firm: HARDING EXCAVATION (509) 921-9467 Units Unit Desc I NUMBER OF I Y OR BLANK Operator: RMB Printed BY: RMB Fee Amount $85.00 $15.00 Permit Total Fees: $100.00 Print Date: 4/2/2002 Project Number: 02002182 Inv: 1 r t, Application w Date: 4/2/2002 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary: Permit Type Sewer Connection Permit Fee Amount Invoice Amount Amount Paid Amount Owing $100.00 $100.00 $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 infiirmation contained within to he true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will he complied with. Subsequent issuance of a permit shall not he contrued to he 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. Signatu re: Operator: RMB Printed By: RMB Print Date: 4/2/2002