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2001, 07-10 Permit App: 01005531 SewerProject Number: 01005531 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 7/10/01 Page 1 of 1 Project Information: Permit Use: SEWER CONNECTION - MIRABEAU Contact: SHELE/COURCHAINE CONSTR Address: 19818 E SPRAGUE C - S - Z: GREENACRES WA 99016 Setbacks: Front Left: Right: Rear: Phone: (509) 924-5485 Group Name: Site Information: Project Name: Plat Key: 001641 Name: MIRABEAU RANCH ADD District: H Parcel Number: 45091.1456 Block: SiteAddress: 11816 E BUCKEYE AVE SPOKANE, WA 99206 Location:: SPO Zoning: UNKN Unknown Water District: Lot: Owner: Name: SMITH, BILLY JO Address: 11816 E BUCKEYE AVE SPOKANE, WA 99206 Hold: ❑ Area: 0 Sq Ft Width: 90 Depth: 135 Right Of Way (ft): 0 Nbr of Bldgs: 2 Nbr of Dwellings: 1 Review Information: Department ENGINEER Permits: Review Road Obstruction Hold Reasons: Peunit Conditions: O /S _ 363 Released By: Sewer Permit Contractor: COURCHAINE CONSTRUCTION Firm: COURCHAINE CONSTRUCTION Address: 19818 E SPRAGUE AVE Phone: (509) 928-0846 GREENACRES, WA 99016 Item Description Units Unit Desc SEWER CONNECTION 1 NUMBER OF PROCESSING FEE 1 Y OR BLANK Permit Total Fees: Fee Amount $85.00 $15.00 $100.00 Payment Summary: Operator: JAS Printed By: JAS Print Date: 7/10/01 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: