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2001, 07-30 Permit App: 01006263 SewerProject Number: 01006263 Inv: 1 y 4 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 7/30/01 Page 1 of 1 Project Information: Permit Use: SEWER CONNECTION - WOLFLAND Contact: COURCHAINE CONSTRUCTION Address: 19818 E SPRAGUE C - S - Z: GREENACRES, WA 99216 Setbacks: Front Left: Right: Rear: Phone: (509) 924-5485 Group Name: Site Information: Project Name: Plat Key: 002403 Name: SOELBERG'S 1ST ADD District: H Parcel Number: 45074.0203 Block: Lot: SiteAddress: 8708 E MONTGOMERY AVE SPOKANE, WA 99212 Location:: SPO Zoning: UNK Water District: Owner: Name: STROHMEYER, LOIS Address: 8708 E MONTGOMERY AVE SPOKANE, WA 99212 Hold: ❑ Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review Information: , Department Review ENGINEER Road Obstruction Hold Reasons: Permit Conditions: Released By:0:&" T ---3(77 I1 Permits• Sewer Permit Contractor: COURCHAINE CONSTRUCTION Firm: COURCHAINE CONSTRUCTION Address: 19818 E SPRAGUE AVE Phone: (509) 928-0846 GREENACRES, WA 99016 Item Description SEWER CONNECTION PROCESSING FEE Units Unit Desc Fee Amount 1 NUMBER OF $85.00 1 Y OR BLANK $15.00 Permit Total Fees: $100.00 Payment Summary: - Operator: CKF Printed By: CKF Print Date: 7/30/01 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Sewer Permit $100.00 $100.00 $0.00 $100.00 Notes: $100.00 $100.00 50.00 $100.00