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2002, 05-15 Permit App: 02003725 SewerProject Number: 02003725 Inv. 1 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 Setbacks: Front Site Information: Left: Right: Rear Plat Key: 002392 Name SKYVIEW ACRES ADD Contact HARDING EXCAVATION Address E. 10303 15TH C - S - Z: SPOKANE, WA 99206 Phone (509) 921-9467 Group Name: Project Name. District: F Parcel Number 45284.1219 Block: Lot: SiteAddress: 12105 E LENORA DR SPOKANE, WA 99206 Location•: SPO Zonme: UN KN \Vater District: Unknown Owner: Name. ERICKSON, JIM & SHERRI Address12105 E LENORA DR SPOKANE, WA 99206 Hold: ❑ Area: 0 Sq Ft Width: 98 Depth. 180 Right Of Way (ft). 60 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review Information: v - Review Road Obstruction Permits: Released By: Og_,101 Sewer Connection Permit Contractor: HARDING EXCAVATION Firm: HARDING EXCAVATION Address E. 10303 15TH AVE Phone: (509) 921-9467 SPOKANE, WA 99206 Item Desciiption SEWER CONNECTION PROCESSING FEE Units Unit Desc Fee Amount 1 NUMBER OF . 585.00 1 YORBLANK 51500 Operator. CKF Printed By: CKF Permit Total Fees: $100.00 Print Date: 5/15/02 Project Number: 02003725 Inv. 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/15/02 Page 2 of 2 Notes Pa;ntent Sunnarv: -- Perna[ Type Sewer Connection Permit Fee Amount Invoice Amount $100.00 $100.00 $100.00 $100.00 Amount Paid $0 00 Amount Owing $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 By: CKF Print Date: 5/15/02