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2002, 04-22 Permit App: 02002801 SewerProject Number: 02002801 Inv: 1 Application THIS IS NOIA PERMIT Penalties will be assessed for commencing work without a permit Date: 4/22/2002 Page 1 of 2 Project Information: Permit Use: SEWER CONNECTION - HUTCHINSON Setbacks: Front Left: Right: Rear: Site Information: .............................................................. Plat Key: 001288 Name: HUTCHINSON'S ADD Contact: Address: C - S - Z: Phone: Group Name: Project Name: NORTHWEST EXCAVATORS, INC 8307 N STANDARD SPOKANE WA 99208 (509) 466-7574 District: F Parcel Number: 45181.0213 Block: SiteAddress: 8817 E SINTO AVE SPOKANE, WA 99212 Location:: SPO Zoning: UR -3.5 Water District: Urban Residential 3.5 Area: 0 Sq Ft Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information:>:................................................................ Lot: Owner: Name: Address: SCHWENK, LEONARD 18616 E CERRO CT OTIS ORCHARDS, WA 99027 Hold: ❑ Depth: 0 Right Of Way (ft): 40 Review Road Obstruction Permits: Released'By «f s 07,.. Sewer Connection Permit Contractor: NORTHWEST EXCAVATORS, INC Address: 8307 N STANDARD SPOKANE, WA 99208 Item Description SEWER CONNECTION PROCESSING FEE Firm: NORTHWEST EXCAVATORS, INC Phone: (509) 466-7574 Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Operator: RMB Printed By: RMB Permit Total Fees: Print Date: Fee Amount $85.00 $15.00 $100.00 4/22/2002 Project Number: 02002801 Inv: 1 Application THIS IS NOTA PERMIT Penalties will be assessed%r commencing work without a permit Date: 4/22/2002 Page 2 of 2 Notes: Payment Summary: Permit Type Sewer Connection Permit Fee Amount Invoice Amount $100.00 $100.00 $100.00 $100.00 Amount Paid Amount Owing $0.00 $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