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2010, 06-28 Permit: 10001900 Sewer, ROWne c#Valley, PERMIT CENTER 11703 E. Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 1 1 Site Information Project Information 1 Site Address: 22 S MANIFOLD RD Parcel Number: 55192.0211 Subdivision: Block: Lot: Zoning: CMU Corridor Mixed Use Dist Owner: SMITH, PATRICIA L Address: 22 S MANIFOLD SPOKANE VALLEY WA 99016 Building Inspector: EAST Water Dist: CONSOLIDATED ID #l9 Project Number: 10001900 Inv: 1 Issue Date: 06/28/2010 Permit Use: ROW- SEWER CONNECTION Applicant: NORM'S Excavating PO BOX 574 VERADALE, WA 99037 Contact: NORM'S Excavating PO BOX 574 VERADALE, WA 99037 Setbacks - Front: Left: Right: Group Name: Project Name: Phone: (509) 928-0580 Phone: (509) 928-0580 Rear: Permits 1 Right of Way Contractor: NORM'S EXCAVATING INC License#: NORMSEI972BM ROW - NO CUT OBS CLEANUP 1 $110 00 Total Permit Fee: $110 00 FOR RIGHT OF WAY INSPECTIONS CALL (509) 869-5373 ENGINEERING Payment Summary Total Fees AmountPaid AmountOwing $110.00 $110.00 $000 Tran Date 06/28/2010 Processed By: Main, Jodi L Printed By: MORRIS, HEATHER Page 1 of I Receipt # 23278 Payment Amt $ 110.00 PERMIT