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2002, 03-14 Permit App: 02001614 SewerProject Number: 02001614 Inv: 1 Aplication Date: 3/14/02 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: `"i. ,md"» .3-r.sn.5rca7R!Nhi-."r.. Permit Use: SEWER CONNECTION - RIVERWALK 8TH Setbacks: Front Left: Right: Rear: Site Information: Plat Key: 005859 Name: RIVERWALK 8TH ADD Contact: CONDRON CONSTRUCTION, INC Address: 802 W ROSEWOOD AVE C - S - Z: SPOKANE, WA 99208-4142 Phone: (509) 325-4865 Group Name: Project Name: District: G Parcel Number: 55083.51V 7 Block: 2 Z3 SiteAddress: 1903 N HODGES LN GREENACRES, WA USA 9901 Location:: GRE Zoning: UR -7 Urban Residential -7 Water District y�� 197 Area: 7,7s1d3"'Sq Ft Width: 10 Depth: 110 Right Of Way (ft): 35 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Lot: S 17 Owner: Name: CONDRON CONSTRUCTION, INC Address: 802 W ROSEWOOD AVE SPOKANE, WA 99208-4142 Hold: ❑ Review Review by Utilities Permits: �az Released Byt c -t ?:L Foel7 516A)6 Contractor: UNKNOWN Address: UNKNOWN UNKNOWN, WA UNKNOWN Sewer Connection Permit Firm: UNKNOWN Phone: (000) 000-0000 Item Description Units Unit Desc Fee Amount SEWER CONNECTION 1 NUMBER OF $85.00 PROCESSING FEE 1 Y OR BLANK $15.00 Operator: CKF Printed By: CKF Permit Total Fees: $100.00 Print Date: 3/14/02 Project Number: 02001614 Inv: 1 AppiT ation THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 3/14/02 Page 2 of 2 Payment Summary ..-;...ov,-,910w1...:. _ .a, .. s *..r . Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Sewer Connection Permit $100.00 $100.00 $0.00 $100.00 $100.00 $100.00 $ 0.00 $100.00 R�# 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 tha,t 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: 3/14/02