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2002, 07-17 Permit App: 02006025 SewerProject Number 02006025 Inv 1 r Appl_i,Cation THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Data 7/17/2002 Page 1 of 2 Project Information: Permit Use: SEWER CONNECTION-,p$-6IN-E S. Contact. VISTA CONSTRUCTION & DEV --"trt.killOS111— Address 3421) N. TSCHIRLEY RD C - S - Z. SPOKANE. WA 99216 Setbacks. Front Left: Right. Rear. Phone: (509) 926-2243 Group Name Site Information: Project Name: Plat Key: 1101743 Name: MYRON ESTATES NO 8 District: F Parcel Number 440412023 Block: Lot: SitcAddress' 113118 E FERRET DR SPOKANE, WA 99206 Location: SPO Zoning: UR -3.5 Water District Urban Residential 3.5 Omer Name LORENZEN. MIKE Address 11308 E FERRE f DR SPOKANE, WA 99206 Hold' ❑ Area: 1) Sy Ft Width: 0 Depth: 0 Right Of Way (0): 0 Nbr of Bldgs: t Nbr of Dwellings: 1 Review Information: Review Road Obstruction oose.sSB3 Review by Utilities Permits: Released By Sewer Connection Permit Contractor: VISTA CONSTRUCTION & Firm: VISTA CONSTRUCTION & DEV Address- 3421) N TSCIIIRLEY RI) #1 Phone: (5119) 926-2243 SPOKANE, WA 99216 Item Description SEWER CONNECTION PROCESSING FEE Units Unit Dcsc I NUMBER OF I Y OR BLANK Operator: RMB Printed By RMB Permit Total Fees: Fcc Amount $g; nn $1500 $101100 Print Date: 7/17/2002 Project Number: 02006025 Inv: 1 ApNlicaton Date: 7/17/2002 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes: 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 50.00 $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 he complied with. Subsequent issuance of a permit shall 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 other state or local laws or ordinances. Sign:du rc: Operator: RMB Printed By: RMB Print Date. 7/17/2002