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2002, 04-16 Permit App: 02002637 SewerProject Number. 02002637 Inc. I is Application Date: 4/16/21102 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: - Permit Use SEWER CONNECTION - EASTON Contact A+ DRAIN & SEWER SERVICE INC Address. 4923 N CONKLIN RI) C - S - Z SPOKANE. WA 99216 Setbacks: Front Left. Right: Rear: Plmne. (5119) 891-2280 Group Name. Site Mkt-mallowProICCI Name. Plat Key: 001554 Name: MARION ADD District: F Parcel Number 45162.1402 Block Lot: SiteAddress: 111114 E MAXWELL AVE Owner. Name. IIART, JAMES SPOKANE, WA 99206 Address 11014 E MAXWELL AVE Location:: SPO SPOKANE, WA 99206 Zoning. UR -7 Water Distract. Urban Residential -7 Arca 11,1100 Sti Ft Width- 0 Nbr of Bldgs: 0 Nbr of Dwellings. 1 Review /afarmation: - Hold: 11 Depth: 0 Right Of Way (ft) 11 Review Road Obstruction Permits: •Relc:isedB} DAS Lit -7 Seiner Connection Permit Contractor A+ DRAIN & SEWER SERVICE Firm: A+ CONSTRUCTION Address- 4923 N CONKLIN RI) Phone: (509) 891-2280 SPOKANE, WA 99216 Item Description SEWER CONNECTION PROCESSING FEE Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Operator: RMB Printed By RMB Fee Amount 585.011 $15.00 Permit Total Fees: $101 1111 Print Dale: 4/16/2002 Project Number: 02002637 Inv: / Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date. 4/16/2002 Page 2 of 2 Payment Summary Permit Type Sewer Connection Permit Fee Amount Invoice Amount $100.00 $100.00 $100.00 $100.00 Amount Paid $0.00 Amount Owing $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 he true and correct, and agree 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 1'u r, or an approval of, any violation of any of the provisions of the code or of any other state or local laces or ordinances. Signature Operator. RMB Printed By. RMB Print Data 4/16/2092