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1999, 09-29 Permit App: 99009205 SewerProject Number: 99009205 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 9/29/99 Page 1 of 1 Project Information: Permit Use: SEWER CONNECTION = MEADOWLAND Setbacks: Front Left: Right: Rear: Site Information: Plat Key: 005999 Name: MEADOWLAND Contact: SHY SHAN CONSTRUCTION Address: P.O. BOX 14741 C - S - Z SPOKANE, WA 99214 Phone: (509) 927-4306 District: F Parcel Number. 45213.3003 SiteAddress: 1223 S GLENN RD Owner: Name: SHY-SHAN CONSTRUCTION Spokane, WA USA 99206 Address: P.O. BOX 14741 Location:: SPO SPOKANE, WA 99214 Zoning: UR -3.5 Urban Residential 3.5 Water District: 007 MODEL Hold: 0 Area: 11,243 Sq Ft Width: 80 Depth: 141 Right Of Way (ft): 36 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Denartment UTILITIES Comments: Permits: Review Review by Utilities Contractor: SHY SHAN CONSTRUCTION Address: P.O. BOX 14741 SPOKANE, WA 99214 Item Description SEWER CONNECTION PROCESSING FEE Payment Summarv: Operator: RMB Permit Type Sewer Permit Notes: Sewer Permit Firm: SHY SHAN CONSTRUCTION Phone: (509) 927-4306 Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Permit Total Fees: Fee Amount $85.00 $15.00 $100.00 Printed By: RMB Print Date: 9/29/99 Fee Amount Invoice Amount Amount Paid Amount Owing $100.00 $100.00 $100.00 $100.00 $0.00 5100.00 $0.00 $100.00