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2002, 05-20 Permit App: 02003885 SewerProject Number: 02003885 Inv: 1 41. Application Date: 5/20/2002 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 - EASTON Contact: VISTA CONSTRUCTION & DEV Address: 3420 N. TSCHIRLEY RD C - S - Z: SPOKANE, WA 99216 Setbacks: Front Left: Right: Rear: Phone: (509) 926-2243 Group Name: Name: Site Information: Project Plat Key: 001398 Name: KRALIK'S SUB.#2 District: Parcel Number: 45162.1116 Block: SiteAddress: 908 N JOHNSON RD SPOKANE, WA 99206 Location:: SPO Zoning: AGSUB Water District: Lot: Owner: Name: HAWKINS, ROBERT Address: 908 N JOHNSON RD SPOKANE, WA 99206 Hold: LI Area: 0 Sq Ft Width: 83 Depth: 122 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review Road Obstruction Released By: _Ica) i 02, Od,sc_.E.-61 1 Sewer Connection Permit Contractor: VISTA CONSTRUCTION & Firm: VISTA CONSTRUCTION & DEV Address: 3420 N TSCHIRLEY RD #1 Phone: (509) 926-2243 SPOKANE, WA 99216 Item Description SEWER CONNECTION PROCESSING FEE Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Operator: RMB Printed By: RMB Fee Amount $85.00 $15.00 Permit Total Fees: $100.00 Print Date: 5/20/2002 Project Number: 02003885 Inv: Application , THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/20/2002 Payment Summary: Permit Type Sewer Connection Permit Fee Amount Invoice Amount $100.00 $100.00 $100.00 $100.00 Amount Paid Amount Owing $0.00 $100.00 $0.00 $100.00 Page 2 of 2 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: RMB Printed By: RMB Print Date: 5/20/2002