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1994, 11-28 Permit App: 94011734 SewerPROJECT NUMBER= 94011734 APPLICATION DATE= 11/28/94 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT 20) SITE STREET= 510 S FLORA RD ADDRESS= GREENACRES WA 99016 PERMIT USE= SEWER CONNECTION - SPOKANE VALLEY GOOD SAMARITAN CENTER (94S-13Zp) PARCEL#= 45241.9129C / PLAT#= 005133 PLAT NAME=P-597-89 BLOCK= LOT= ZONE= UR 3.5 DIST#= G AREA= F/A= F WIDTH= 148 DEPTH= 202 R/W= 50 # OF BLDGS= # DWELLINGS= 1 WATER DIST = CONSOLIDATED IRRG #1 OWNER= MALLICOAT, JOHN STREET= 504 S FLORA RD ADDRESS= GREENACRES WA 99016 PHONE= 509 924 2625 CONTACT NAME= JOHN MALLICOAT PHONE NUMBER= 509 924 2625 BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT UTILITIES CONNECTION AGREEMENT REQUIRED COMMENTS: ***************************** SEWER PERMIT ****************************** CONTRACTOR= OWNER ITEM DESCRIPTION PROCESSING FEE SEWER CONNECTION PERMIT TYPE SEWER PERMIT PHONE= QUANTITY FEE AMOUNT Y 10.00 1 40.00 FEE AMOUNT AMOUNT PAID AMOUNT OWING 50.00 .00 50.00 .00 PROCESSED BY: JULIE SHATTO PRINTED BY: JULIE SHATTO / .50_;..00. fir.. 50.00 ******************************** THANK YOU ************************************ `T0 I SSU 1J13 L Ro - -ti / j ) ,z&- 4 5ao 0442-6' j6 zea) 02- 06Cli