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2002, 03-26 Permit App: 02001906 SewerProject Number: 02001906 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 3/26/2002 Page 1 of 2 Project Information: Permit Use: SEWER CONNECTION - HUTCHINSON Setbacks: Front Left: Right: Rear: Site Information: Plat Key: 001623 Name: MICHENER'S REPLAT Contact: VISTA CONSTRUCTION & DEV Address: 3420 N. TSCHIRLEY RD C - S - Z: SPOKANE, WA 99216 Phone: (509) 926-2243 Group Name: Project Name: District: F Parcel Number: 45181.0605 Block: SiteAddress: 1503 N MESA RD SPOKANE, WA 99212 Location:: SPO Zoning: UR -3.5 Water District: Urban Residential 3.5 Lot: Owner: Name: BABBITT, RONALD & CAROL Address: 1503 N MESA RD SPOKANE, WA 99212 Hold: ❑ Area: 0 Sy Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 10 Review Information: Review Road Obstruction Permits: e.2S!5159 Contractor: VISTA CONSTRUCTION & Address: 3420 N TSCHIRLEY RD #1 SPOKANE, WA 99216 Item Description SEWER CONNECTION PROCESSING FEE Sewer Connection Permit Firm: VISTA CONSTRUCTION & DEV Phone: (509) 926-2243 Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Operator: RMB Printed By: PSS Permit Total Fees: Fee Amount $85.00 $15.00 $100.00 Print Date: 3/26/2002 Project Number: 02001906 Notes: Inv: 1 Application Date: 3/26/2002 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 $100.00 $100.00 Amount Paid Amount Owing $100.00 $0.00 $100.00 $100.00 $100.00 $0.00 Page2of2 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 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: PSS Print Date: 3/26/2002