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2001, 08-23 Permit App: 01007172 SewerProject Number: 01007172 Inv: 1 _Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 8/23/2001 Page 1 of 1 Project Information: .................................................... Permit Use: SEWER CONNECTION - EASTON 2 Contact: NORTHWEST EXCAVATORS, INC Address: 8307 N STANDARD C - S - Z: SPOKANE WA 99208 Setbacks: Front Left: Right: Rear: Phone: (509) 466-7574 Group Name: Site Information: Project Name: Plat Key: CONV Name: CONVERTED CNTY DATA District: F Parcel Number: 45162.1058PTN Block: SiteAddress: 10904 E MALLON AVE SPOKANE, WA 99206 Location:: SPO Zoning: AGSUB Water District: Area: 0 Sq Ft Lot: Owner: Name: ROTH, VALS Address: 10906 E MALLON AVE SPOKANE, WA 99206 Hold: ❑ Width: 100 Depth: 103 Right Of Way (ft): 0 Nbr of Bldgs: 1 Nbr of Dwellings: 20 Department Review ENGINEER Road Obstruction Hold Reasons: Permit Conditions: 01 304-2 Sewer Connection Permit Contractor: NORTHWEST EXCAVATORS, INC Firm: NORTHWEST EXCAVATORS, INC Address: 8307 N STANDARD Phone: (509) 466-7574 SPOKANE, WA 99208 Item Description Units Unit Desc Fee Amount SEWER CONNECTION 1 NUMBER OF $85.00 PROCESSING FEE 1 Y OR BLANK $15.00 Permit Total Fees: $100.00 PaymentS umm Operator: MKC Printed By: MKC Print Date: 8/23/2001 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Sewer Connection Permit Notes:.;:.;:.: $100.00 $100.00 $0.00 $100.00 $100.00 $100.00 $0.00 $100.00