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2001, 09-04 Permit App: 01007516 Sewer, Plumbing FixturesProject Number: 01007516 Inv: 1 Application Date: 9/4/2001 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SEWER CONNECTION - HUTCHINSON, PL Contact: COURCHAINE CONSTRUCTION REVERSAL 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: 000000 Name: UNKNOWN District: F Parcel Number: 45181.0806 Block: SiteAddress: 8616 E SINTO AVE SPOKANE, WA USA 00000 Location:: SPO Lot: Owner: Name: JOHNSON, T H Address: 8616 E SINTO AVE SPOKANE, WA 99212-2539 Zoning: UR -3.5 Urban Residential 3.5 Water District Hold: ❑ Depth: 0 Right Of Way (ft): 0 Area: 13,162 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Department ENGINEER Hold Reasons: Permit Conditions: Permits: Review Road Obstruction got SP.55.47 Plumbing Permit Contractor: COURCHAINE CONSTRUCTION Firm: COURCHAINE CONSTRUCTION Address: 19818 E SPRAGUE AVE GREENACRES, WA 99016 Phone: (509) 928-0846 Item Description Units Unit Desc Fee Amount WATER PIPING - DWV 1 NUMBER OF $6.00 PROCESSING FEE 1 Y OR BLANK $25.00 MINIMUM FEE ADJUSTMENT 1 Select $4.00 Permit Total Fees: $35.00 Project Number: 01007516 Inv: 1 s.. Application Date: 9/4/2001 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit 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 Payment Summary: Operator: DMD Permit Type Plumbing Permit Sewer Connection Permit Notes: Permit Total Fees: $100.00 Printed By: DMD Print Date: 9/4/2001 Fee Amount Invoice Amount $35.00 $35.00 $100.00 $100.00 Amount Paid $0.00 $0.00 Amount Owing $35.00 $100.00 $135.00 $135.00 $0.00 $135.00