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2002, 02-19 Permit App: 02000957 SewerProject Number: 02000957 Inv: 1 Application Date: 2/19/02 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: d , Permit Use: SEWER CONNECTION - EASTON Contact: COURCHAINE CONSTRUCTION Address: 19818 E SPRAGUE Setbacks: Front Site Information: Left: Right: Rear: tTRIEMMNEEr' Plat Key: 001554 Name: MARION ADD C - S - Z: GREENACRES, WA 99216 Phone: (509) 924-5485 Group Name: Project Name: Ufa District: F Parcel Number: 45162.1302 Block: SiteAddress: 1515 N GLENN RD SPOKANE, WA 99206 Location:: SPO Zoning: UR -7 Water District: Area: 0 Sq Ft Nbr of Bldgs: 1 Review Information: Review Road Obstruction Urban Residential -7 Width: 0 Nbr of Dwellings: 20 Lot: Owner: Name: RICHARDSON, BILL & RHONDA Address: 1515 N GLENN RD SPOKANE, WA 99206 Hold: ❑ Depth: 0 Right Of Way (ft): 50 OdN.Stb-1 Sewer Connection Permit Contractor: COURCHAINE CONSTRUCTION Address: 19818 E SPRAGUE AVE GREENACRES, WA 99016 Item Description SEWER CONNECTION PROCESSING FEE Units 1 1 Operator: CKF Printed By: CKF Finn: COURCHAINE CONSTRUCTION Phone: (509) 928-0846 Unit Desc NUMBER OF Y OR BLANK Permit Total Fees: Fee Amount $85.00 $15.00 $100.00 Print Date: 2/19/02 Project Number: 02000957 Inv: 1 -`i Application Date: 2/19/02 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 Amount Paid Amount Owing $100.00 $100.00 $0.00 $100.00 $100.00 $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 be 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 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. Signature: Operator: CKF Printed By: CKF Print Date: 2/19/02