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2002, 03-20 Permit App: 02001760 SewerProject Number: 02001760 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 3/20/2002 Page 1 of 2 Project Information: Permit Use: SEWER CONNECTION - RIVERWALK 5TH Contact: CONDRON CONSTRUCTION Address: 802 W. ROSEWOOD, SUITE B C - S - Z: SPOKANE, WA 99208 Setbacks: Front Phone: (509) 325-4865 Group Name: Project Name: Left: Right: Rear: Site Information: ..................................................................................... ..................................................................................... ..................................................................................... ..................................................................................... Plat Key: 005872 Name: RIVERWALK 5TH ADD District: G Parcel Number: 55083.4101 Block: 7 SiteAddress: 19013 E MICHIELLI LN GREENACRES, WA USA 990 Location:: GRE Zoning: UR -7 Water District: Area: 6,600 Sq Ft Urban Residential -7 Lot: 1 Owner: Name: CONDRON CONSTRUCTION INC Address: 802 W. ROSEWOOD, SUITE B SPOKANE, WA 99208 Hold: ā‘ Width: 60 Depth: 110 Right Of Way (ft): 35 Nbr of Bldgs: 1 Nbr of Dwellings: 1 .................. ................. .................. ................. Review Review by Utilities ......................... .......................... ......................... .......................... 3/z i./a z Released By:0 K G iā€” c i /Y/ `fai b, p v Contractor: CONDRON CONSTRUCTION Address: 802 W ROSEWOOD, STE B SPOKANE WA 99208 Item Description SEWER CONNECTION PROCESSING FEE Sewer Connection Permit Firm: CRAIG CONDRON CONSTRUCTI Phone: (509) 325-4865 Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Fee Amount $85.00 $15.00 Permit Total Fees: $100.00 Operator: RMB Printed By: RMB Print Date: 3/20/2002 Project Number: 02001760 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 3/20/2002 Page 2 of 2 Notes: :> ............. OK TO ISSUE SEWER PERMITS PER BILLY 8/26/97 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: 3/20/2002