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2002, 05-15 Permit App: 02003724 SewerProject Number: 0200372-1 Inv. 7 .±► Application Date: 5/15/02 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work•without a permit Project Information: Permit Use: SEWER CONNECTION - SKYVIEW Contact: HARDING EXCAVATION Address: E. 10303 15TH C - S - Z: SPOKANE, WA 99206 Setbacks: Front Left: Right: Rear: Phone: (509) 921-9467 Group Name: Site Information: Project Name: Plat Key: 002392 Name: SKYVIEW ACRES ADD District: F Parcel Number: 45284.1604 Block: Lot: SiteAddress: 12014 E LENORA DR SPOKANE, WA 99206 Location:. SPO Owner: Name: VANCE, GERRI Address: 12014 E LENORA DR SPOKANE, WA 99206 Zoning: UR -3.5 Urban Residential 3.5 Water District: Flold: ❑ Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (1t): 50 Nbr of 13ldgs: I Nbr of Dwellings. 1 Review Information: , Review Road Obstruction DSS N 3 c '- Permits: Released 13y: Sewer Connection Permit Contractor: HARDING EXCAVATION Firm: HARDING EXCAVATION Address: E. 10303 15TH AVE SPOKANE, WA 99206 Item Desci iption SEWER CONNECTION PROCESSING FEE Phone: (509) 921-9467 Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Operator: CKF Printed By: CKF Fee Amount $55.00 $15.00 Permit 'Total Fees: $100.00 Print Date: 5/15/02 Project Number: 02003724 Inv: / Notes: Application THIS IS NOT A PERMIT Penalties will be'assessed for commencing work without a permit Date: 5/15/02 Page 2 of 2 Payment Summary: Permit Type Sewer Connection Permit Fee Amount Invoice Amount $ 100.00 $100.00 Amount Paid $0.00 Amount Owing $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 13y' CKF Print Date: 5/15/02