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2002, 06-17 Permit App: 02004867 SewerProject Number 02004867 My: 1 .r . Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use SEWER CONNECTION - WHISPERWOOD 2ND Contact: RICHARDSON HOMES Address: P.O. BOX 28941 C - S - Z: SPOKANE, WA 99228 Setbacks Front LeftRight: Rear: Phony. (51)9) 994-2832 Group Nmuc: Site Informations Project Name: Date: 6/17/2002 Page 1 of 2 Plat Key: 005471 Name WHISPERWOOD SECOND ADDITION (PUD) District: F Parcel Number: 45261.5405 Block: 3 Lot:•5 SitcAddress: 1705 S NEWER LN VERADALE, WA USA 99037 Location:: VER Zoning: UR -7 Water District Urban Residential -7 Area' 3,865 Sy Ft Width: 0 Nbr of Bldgs 0 Nbr of Dwellings: 0 Review "'divination: Owner: Name RICHARDSON HOMES Address' PO BOX 28941 SPOKANE, WA 99228 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Review by Utilities Permits: Releaked By CFS e r s6ma,0 6 /8/aa Sewer Connection Permit Contractor: RICHARDSON HOMES INC Firm: RICHARDSON HOMES INC Address. PO BOX 28941 Phone: (509) 466-5968 SPOKANE, WA 99228 Item Description SEWER CONNECTION PROCESSING FEE Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Operator: RMB Printed By: RMB Fee Amount $85 0(1 $15.0(1 Permit Total Fees: 5100.(11) Print Date: 6/17/2002 Project Number: 02004867 Inv: 7 "Application THIS IS NOTA PERMIT Penalties will be assessed for commencing work without a permit Date: 6/17/2002 Page 2 of 2 Notes: OK TO ISSUE SEWER PERMITS PER GENE REPP 2/20/98 Payment Sunman,: Permit Type Sewer Connection Permit Fee Amount Invoice Amount Amount Paid Amount Owing $100.00 $100.00 $0.00 $100 00 $10000 $100.00 $0.00 $100.00 Disclaimer: Submittal of this application certifies the owner (or person(%) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that alt 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- 6/17/2002