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2002, 05-14 Permit App: 02003688 SewerProject Number: 02003688 Inv. 1 Application Date: 5/14/02 Page 1 of 2 ill IS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SEWER CONNECTION - DHAENENS SQ PHASE II Contact: CURRY, GORDON Address: 14313 E TRENT C - S - Z: SPOKANE WA 99216 Setbacks: Front Left: Right: Rear: Phone: (509) 928-0600 Group Name: Site Information: Project Name: Plat Key: 005914 Nanie: DHAENENS SQUARE PHASE 11 District: F Parcel Number: 45224.4206 Block 3 Lot: 6 SiteAddress: 1406 S MANIEI2 LN VERADALE, WA USA 99037 Location:: VER Owner: Name: CURRY. CORDON Addiess: 14313 E TRENT SPOKANE WA 99216 Zoning: UR -3.5 Urban Residential 3.5 Water District. 010 VERA Hold ❑ Area: 4,842 Sq Ft Width. 53 Depth 90 Right Of Way (ft)• 30 Nhr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: , Review Review by Utilities Permits: Released By: Sc'n•er Connection Permit Contractor: EXCELL CONSTRUCTION Firm: EXCELL CONSTRUCTION COM P Address: 14313 E TRENT AVE Phone: (509) 928-0600 SPOKANE. WA 99206 Item Description SEWER CONNECTION PROCESSING FEE Units Unit Desc I NUMBER OF I 1' OR BLANK Operator: JAS Printed By: .IAS Fee Amount $85.00 515.00 Permit Total Fees: $100.00 Print Date' 5/14/02 Project Number. 02003688 Inv: / Applicatioi.— THIS IS NOT A PERMYT Penalties will be assessed for commencing work without a permit Date: 5/14/02 Page 2 of 2 Notes: OK TO ISSUE SEWER PERMITS FOR BLOCK 1 - LOTS I TH 10, BLOCK 2 - LOTS I TH 12 PER ROGER 10/23/98 DO NOT ISSUE SEWER PERMITS FOR BLOCK 3 - LOTS 1 TH 7, BLOCK 4 - LOTS 1 TH 5, BLOCK 5 - LOTS 1 TH 6 Payment Summary: Permit Type Sewer Connection Permit Fee Amount Invoice Amount Amount Paid Amount Owing $100.00 $100.00 $100.00 $100.00 $0.00 $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. JAS Printed By: JAS Print Date: 5/14/02