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2001, 10-09 Permit App: 01008832 SewerProject Number: 01008832 Inv: 1 Application Date: 10/9/01 Page 1 of 1 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SEWER CONNECTION - CHINOOK EST NO 3 Contact: PRESTON, JOHN Address: 4808 N LARCH CT C - S - Z: SPOKANE, WA 99216 Setbacks: Front Left: Rtght: Rear: Phone: (509) 928-0772 Group Name: Site Information: Project Name: Plat Key: 005709 Name: CHINOOK NO. 3 (CHINOOK ESTATES) District: H Parcel Number: 46363.0909 Block: Lot: SiteAddress: 4808 N LARCH CT SPOKANE, WA 99216 Location:: SPO Zoning: UNKN Unknown Water District: Area: 15.624 Sq Ft Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Owner: Name: PRESTON, JOHN Address: 4808 N LARCH CT SPOKANE, WA 99216 Hold: E Depth: 0 Right Of Way (ft): 50 Review Information: , - Department Review UTILITIES I Review by Utilities Hold RFsons: oKL A5 veJZ 7AuE Wiah 76. Released Cak,A -"`2 Io n / e I Permit- Codditions: Permits- e I Sewer Connection Permit Contractor: OWNER Firm: OWNER Address: 0 Phone: (000) 000-0000 000000, 00 000000 Item Description SEWER CONNECTION PROCESSING FEE Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Permit Total Fees: Fee Amount $85.00 $15.00 $100.00 Payment Summary: Operator: JAS Printed By: JAS Print Date: 10/9/01 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Sewer Connection Permit $100.00 $100.00 $0.00 $100.00 8100.00 8100.00 80.00 8100.00 Notes: