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1999, 05-07 Permit App: 99003879 Sewer
Project Number: 99003879 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/7/99 Page 1 of 1 Proiect Information: Permit Use: SEWER CONNECTION Setbacks: Front Left: Right: Rear: Site Information: F#tUk:`.YAT`Y`C?:G.SXu.9.ASN`:'RYR'4Y.WAvo�D"•..:w.>:'.::.C':i:::��:.::".W".:h)R::ai av"Y Plat Key: 001868 Name: ORCHARD AVENUE ADD (TR.1-2 Contact: LEWIS, DEBRA L. Address: 3021 N EDGERTON RD C - S - Z SPOKANE, WA 99212 Phone: (509) 922-5332 District: H Parcel Number: 45072.0205 SiteAddress: 3021 N EDGERTON RD Owner: Name: LEWIS, DEBRA L. SPOKANE, WA 99212 Address: 3021 N EDGERTON RD Location:: SPO SPOKANE, WA 99212 Zoning: 000000 Water District: Hold: ❑ Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: a-.oto:»��vsri.:�:aa�ci�ns.xresa;:aa•'aasn:a:�r.;t::x:��.�c�'.x's.ssa:,:mov:.a:xe,;:;c::::.uot Department Review UTILITIES Review by Utilities tUkaci..„- 5. 7. �J9. mComents:CCKio 1 S_5c OPT :5(a01:5(a01312_.3i7 Permits: Contractor: OWNER Address: 0 000000, 00 000000 Item Description SEWER CONNECTION PROCESSING FEE Payment Summary: r :wkmbnct Operator: RMB Permit Type Sewer Permit Notes: Sewer Permit Firm: OWNER Phone: (000) 000-0000 Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Fee Amount $85.00 $15.00 Permit Total Fees: $100.00 Printed By: RMB Print Date: 5/7/99 Fee Amount Invoice Amount $100.00 $100.00 $100.00 $100.00 Amount Paid $0.00 Amount Owing $100.00 $0.00 n'e; :ma::;;::tt;n:sar.;x„ax.r..; $100.00