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2001, 08-24 Permit App: 01007264 SewerProject Number: 01007264 Inv: 1 Application Date: 8/24/01 Page 1 of 1 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Proiect Information: Permit Use: INT PLBG ALTERATION/SEWER Contact: SHELE/COURCHAINE CONSTR CONNECTION/WOLFLAND Address: 19818 E SPRAGUE C - S - Z: GREENACRES WA 99016 Setbacks: Front Left: Right: Rear: Phone: (509) 924-5485 Group Name: Site Information: Project Name: Plat Key: 000000 Name: UNKNOWN District: H Parcel Number: 45074.1702 Block: SiteAddress: 1911 N SARGENT RD SPOKANE, WA USA 99206 Location:: SPO Zoning: UNKN Unknown Water District: Area: 0 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Department Review ENGINEER Road Obstruction Hold Reasons: Permit Conditions: / S-b� %1� Lot: Owner: Name: MORSE, SAM Address: 1911 & 1913 N SARGENT SPOKANE WA 99206 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Permits: Sewer Connection Permit Contractor: COURCHAINE CONSTRUCTION Firm: COURCHAINE CONSTRUCTION Address: 19818 E SPRAGUE AVE Phone: (509) 928-0846 GREENACRES, WA 99016 Item Description Units Unit Desc Fee Amount SEWER CONNECTION 1 NUMBER OF $85.00 PROCESSING FEE 1 Y OR BLANK $15.00 Permit Total Fees: $100.00 Payment Summary: Operator: JAS Printed By: JAS Print Date: 8/24/01 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Sewer Connection Permit $100.00 $100.00 $0.00 $100.00 $100.00 $100.00 $0.00 $100.00 Notes: