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2000, 01-07 Permit App: 00000149 SewerProject Number: 00000149 Inv: 1 Application Date: 01/07/20 Page 1 of 1 THIS IS NOT PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SEWER CONNECTION - CHINOOK Setbacks: Front Site Information: Plat Key: 005710 Name: CHINOOK NO. 4 (CHINOOK EST Left: Right: Rear: TAMWMUMMW;Mat, Contact: HOUGH, ARDEN, II Address: 5011 N LILLIAN C - S - Z SPOKANE WA 99216 Phone: (509) 000-0000 District: H Parcel Number: 46364.1205 SiteAddress: 5011 N LILLIAN CT SPOKANE, WA 99216 Location:: SPO Zoning: UNKN Unknown Water District: Area: 10,653 Sq Ft Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Owner: Name: HOUGH, ARDEN, H Address: 5011 N LILLIAN SPOKANE WA 99216 Hold: ❑ Depth: 0 Right Of Way (ft): 50 Department UTILITIES Comments: Permits: Review Sewer Review Contractor: OWNER Address: 0 000000, 00 000000 Item Description SEWER CONNECTION PROCESSING FEE Payment Summary: Operator: JAS Permit Type Sewer Permit Notes: Sewer Permit Firm: OWNER Phone: (000) 000-0000 Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Permit Total Fees: Fee Amount $85.00 $15.00 $100.00 Printed By: JAS Print Date: 01/07/2000 Fee Amount Invoice Amount Amount Paid Amount Owing $100.00 $100.00 $100.00 $100.00 $0.00 $100.00 $0.00 $100.00