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2002, 04-22 Permit App: 02002804 SewerProject Number: 02002804 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: .................................................................... ................................................................... Permit Use: SEWER CONNECTION - HUTCHINSON Date: 4/22/2002 Page 1 of 2 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: 45181.0213 Block: SiteAddress: 8821 E SINTO AVE SPOKANE, WA 99212 Location:: SPO Zoning: UR -3.5 Water District: Urban Residential 3.5 Area: 40,000 Sq Ft Width: 0 Nbr of Bldgs: 1 Nbr of Dwellings: 0 Review Information: ::............................ ............................... Lot: Owner: Name: SCHWENK, LEONARD Address: E. 18616 CERRO CT OTIS ORCHARDS, WA 99027 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Road Obstruction oasc,t-' . 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 PROCESSING FEE Units Unit Desc 1 Y OR BLANK Fee Amount $15.00 Permit Total Fees: Jc Operator: RMB Printed By: RMB Print Date: 4/22/2002 Project Number: 02002804 Inv: 1 Notes: Appkcation THIS IS-NOi A PERMIT Penalties will be assessed for commencing work without a permit Date: 4/22/2002 Page 2 of 2 Payment Summary Permit Type Sewer Connection Permit Fee Amount Invoice Amount Amount Paid Amount Owing $15.00 $15.00 $0.00 $15.00 $15.00 $15.00 $0.00 $15.00 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