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2001, 12-17 Permit App: 01010870 Sewer Project Number: 01010870 Inv: 1 Application Date: 12/17/2001 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-SKYVIEW Contact: INLAND EMPIRE EXCAVATION Address: 10211 E. DRIFTWOOD C -S -Z: SPOKANE,WA 99206 Setbacks: Front Left: Right: Rear: Phone: (509)891-1586 Group Name: Site Information: Project Name: Plat Key: 002392 Name: SKYVIEW ACRES ADD District: F Parcel Number: 45284.1209 Block: Lot: SiteAddress: 12022 E SKYVIEW AVE Owner: Name: ANDERSON,M.L. SPOKANE,WA 99206 Address: 12022 E SKYVIEW AVE Location:: SPO SPOKANE,WA 99206 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 1 v' Re aew In ormahon: :. Review Road Obstruction Released By: ty t - /7- ©i Doss- gab Permits: Sewer Connection Permit Contractor: INLAND EMPIRE EXCAVATION Firm: INLAND EMPIRE EXCAVATION I Address: 10211 E DRIFTWOOD Phone: (509)891-1586 SPOKANE,WA 99206 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 Operator: RMB Printed By: RMB Print Date: 12/17/2001 Project Number: 01010870 Inv: 1 Application Date: 12/17/2001 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Payment Summary: 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: 12/17/2001