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2002, 05-16 Permit App: 02003756 SewerProject Number: 02003756 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 5/16/02 Page 1 of 2 Project Information: Permit Use: SEWER CONNECTION - HUTCHINSON Setbacks: Front Site Information: Plat Key: 003668 Name: HUTCHINSON'S ADD (REPLAT) District: Contact: GOBER & SON Address: 11215 E TRENT AVE C - S - Z: SPOKANE, WA 99206 Left: Right: Rear: Phone: (509) 924-5372 Group Name: Project Name: Parcel Number: 45181.1701 Block: Lot: SiteAddress: 1525 N MARGUERITE RD SPOKANE, WA 99212 Location:: SPO Zoning: UNK Water District: Owner: Name: ONYETT, PATRICIA Address: 1525 N MARGUERITE RD SPOKANE, WA 99212 Hold: ❑ Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Review Road Obstruction &P..5 -ars- 373 Permits: Contractor: GOBER & SON & SON Address: 11215 E TRENT SPOKANE, WA 99206-4696 F Sewer Connection Permit Firm: GOBER & SON & SON Phone: (509) 924-5372 Item Description Units Unit Desc SEWER CONNECTION 1 NUMBER OF PROCESSING FEE 1 Y OR BLANK Operator: JAS Printed By: JAS Permit Total Fees: Fee Amount $85.00 $15.00 $100.00 Print Date: 5/16/02 rroject ivumoer: (MUMS /J6 Inv: 1 Application Date: 5/16/02 Page of 2 THIS IS NQT A PERMIT Penalties will be assessed for commencing work without a permit Notes Payment Summary: ..� Permit Type Sewer Connection Permit Fee Amount Invoice Amount Amount Paid Amount Owing $0.00 $100.00 $100.00 $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: JAS Printed By: JAS Print Date: 5/16/02 a