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2001, 10-15 Permit App: 01009070 Sewer
Project Number: 01009070 Inv: 1 Application Date: 10/15/2001 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: ................................................:.::.:.:.. Penult Use: SEWER CONNECTION - S PONDEROSA Setbacks: Front Left: Right: Rear: Site Information: .............. Plat Key: 000000 Name: UNKNOWN Parcel Number: 44042.1305 Block: SiteAddress: 4821 S BOWDISH RD Spokane, WA USA 99206 Location:: SPO Zoning: UR -3.5 Urban Residential 3.5 Water District: 999 UNKNOWN Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Contact: Z BEST CONSTRUCTION Address: P.O. BOX 13421 C - S - Z: SPOKANE WA 99213 Phone: (509) 891-9949 Group Name: Project Name: Lot: District: F Owner: Name: NUMATA, ROBT A Address: 4821 S BOWDISH RD SPOKANE, WA 99206 - Hold: LI Review Road Obstruction sk-A.-L©9 Sewer Connection Permit Contractor: Z BEST CONSTRUCTION Firm: Z BEST CONSTRUCTION Address: P 0 BOX 13241 AVE Phone: (509) 891-9949 SPOKANE, WA 99213-3241 Item Description SEWER CONNECTION PROCESSING FEE Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Operator: DMD Printed By: DMD Permit Total Fees: Fee Amount $85.00 $15.00 $100.00 Print Date: 10/15/2001 Project Number: 01009070 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/15/2001 Page 2 of 2 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Sewer Connection Permit $100.00 $100.00 $100.00 $100.00 $0.00 $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 he complied with. Subsequent issuance of a permit span 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 otheror local la#1 or ordinanCes. / • Signature: Operator: DMD Printed By: DMD Print Date: 10/15/2001