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2002, 04-22 Permit App: 02002805 SewerProject Number: 02002805 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SEWER CONNECTION - HUTCHINSON 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: 001288 Name: HUTCHINSON'S ADD Date: 4/22/2002 Page 1 of 2 • District: F Parcel Number: 45181.0214 Block: 2 SiteAddress: 1501 N MARGUERITE RD SPOKANE, WA USA 00000 Location:: SPO Lot: 10 Owner: Name: SCHWENK, LEONARD Address: 18616 E CERRO CT OTIS ORCHARDS, WA 99027 Zoning: UR -3.5 Urban Residential 3.5 Water District: Hold: 11 Area: 11,696 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Review Road Obstruction Permits: Released By: thzAP-- 4 S C.l. ?G 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 SEWER CONNECTION 1 NUMBER OF PROCESSING FEE 1 Y OR BLANK Operator: RMB Printed By: RMB Fee Amount $85.00 $15.00 Permit Total Fees: $100.00 Print Date: 4/22/2002 Project Number: 02002805 Inv: 1 ApplicatioI Date: 4/22/2002 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary: .:................ Permit Type Sewer Connection Permit Fee Amount Invoice Amount Amount Paid Amount Owing $100.00 $100.00 $0.00 $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: RMB Printed By: RMB Print Date: 4/22/2002