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2001, 07-27 Permit App: 01006204 SewerProject Number: 01006204 Inv: 1 Application Date: 7/27/01 Page 1 of 1 THIS IS NOT A PERMIT Penalties will be assessed for cotnmencing work without a permit Project Information: Permit Use: SEWER CONNECTION - VALLEY VISTA Setbacks: Front Site Information: Left: Right: Rear: Contact: SHELE/COURCHAINE CONSTR Address: 19818 E SPRAGUE C - S - Z: GREENACRES WA 99016 Phone: (509) 924-5485 Group Name: Project Name: Plat Key: 001968 Name: PECKENPAUGH'S SUB District: F Parcel Number: 45174.0106 Block: SiteAddress: 620 N RAYMOND RD Spokane, WA USA 99206 Location:: SPO Zoning: UR -3.5 Water District: Area: 11,197 Sq Ft Nbr of Bldgs: 0 Urban Residential 3.5 Width: 0 Nbr of Dwellings: 0 Lot: Owner: Name: CRULL, JIM & NORMA Address: 620 N RAYMOND RD SPOKANE, WA 99206-3848 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Information: Department ENGINEER Permits: Hold Reasons: Review Road Obstruction Permit Conditions: O / .,.ate.<0 41/11 Contractor: COURCHAINE CONSTRUCTION Address: 19818 E SPRAGUE AVE GREENACRES, WA 99016 Item Description SEWER CONNECTION PROCESSING FEE Payment Summary: Operator: JAS Permit Type Sewer Permit Notes: Sewer Permit Firm: COURCHAINE CONSTRUCTION Phone: Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Printed By: JAS Permit Total Fees: (509) 928-0846 Print Date: Fee Amount Invoice Amount $100.00 $100.00 Fee Amount $85.00 $15.00 Amount Paid $0.00 $100.00 7/27/01 Amount Owing $100.00 $100.00 $100.00 $0.00 $100.00