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2002, 04-22 Permit App: 02002806 SewerProject Number: 02002806 Inv: 1 Application THIS I N.Oi A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/22/2002 Page 1 of 2 Proiect Information: ........................................ .......................................... . Permit Use: SEWER CONNECTION - HUTCHINSON Setbacks: Front Left: Right: Rear: Site Information: ............... . Plat Key: 001288 Name: HUTCHINSON'S ADD Contact: NORTHWEST EXCAVATORS, INC Address: 8307 N STANDARD C - S - Z: SPOKANE WA 99208 Phone: (509) 466-7574 Group Name: Project Name: District: F Parcel Number: 45181.0212 Block: 2 SiteAddress: 8809 E SINTO AVE SPOKANE, WA USA 00000 Location:: SPO Zoning: UR -3.5 Water District: Area: 22,935 Sq Ft Urban Residential 3.5 Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: ::..................................... .............. . Lot: 9 Owner: Name: SCHWENK, LEONARD Address: 18616 E CERRO CT OTIS ORCHARDS, WA 99027 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Road Obstruction Permits: Sewer Connection Permit Contractor: NORTHWEST EXCAVATORS, INC Firm: NORTHWEST EXCAVATORS, INC Address: 8307 N STANDARD Phone: (509) 466-7574 SPOKANE, WA 99208 Item Description SEWER CONNECTION PROCESSING FEE Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Operator: RMB Printed By: RMB Fee Amount $85.00 $15.00 Permit Total Fees: $100.00 Print Date: 4/22/2002 Project Number: 02002806 Inv: 1 Application Date: 4/22/2002 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit 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 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all 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: 4/22/2002