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2002, 04-30 Permit App: 02003143 SewerProject Number 02003143 Inv 1 , 'Application Date: 4/31)/211112 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 - EASTON Contact: ZUBER CONSTRUCTION Address: 26327 E MISSION C - S - Z: LIBERTY LAKE, WA 99019 Setbacks. Front Left: Right. Rear. Phone: (509) 926-3777 Group Name: Site Information: Project Name: Plat Key: 1100000 Name. UNKNOWN District. F Parcel Number: 45171.0420 Block: Lot: SiteAddress: 1520 N FELTS RD SPOKANE, WA USA 00001) Location:: SPO Zoning: UR -3.5 Water District Urban Residential 3.5 Area 14,41111 Sy Ft Width: 11 Nbr of Bldgs. 0 Nbr of Dwellings: 11 Review Information: - - Owner: Natne: CRAVEN, JEFF Address: 1520 N FELTS RD SPOKANE, WA 992116- I -old• ❑ Depth: 11 Right Of Way (0). 0 Review Road Obstruction Permits: ASK 98 e /C a- L/402_, Seiner Connection Permit Contractor. ZUBER CONSTRUCTION Firm: ZUBER CONSTRUCTION Address: 26327 E MISSION LIBERTY LAKE, WA 991119 Item Description SEWER CONNECTION PROCESSING FEE Phone• (509) 926-3777 Units Unit Desc 1 NUMBER OF I Y OR BLANK Operator: DMD Printed By DMD Fee Amount 5K5 00 $1500 Permit Total Fees: $100.00 Print Date: 4/30/2002 Project Number: 020031 43 Inv: 1 Notes: w , Application Date. 4/30/2002 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 $100.00 $100.00 $100.00 $100.00 Amount Paid $0.00 Amount Owing $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 he true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be 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. Signature. Operator: DMD Printed By: DMD Print Date. 4/30/2002