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2002, 03-26 Permit App: 02001940 SewerProject Number: 02001940 Inv: 1 ;- Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 3/26/2002 Page 1 of 2 Project Information: ..................................................................................... ..................................................................................... .................................................................................... Permit Use: SEWER CONNECTION - TURTLE CREEK 3RD Setbacks: Front Site Information: Plat Key: 006113 Name: TURTLE CREEK 3RD ADDITION Left: Right: Rear: Contact: JIM MAHAR HOMES INC Address: 8121 E MARINGO C - S - Z: SPOKANE, WA 99212 Phone: (509) 879-3495 Group Name: Project Name: District: G Parcel Number: 55194.1313 Block: 3 SiteAddress: 18517 E TURTLE CREEK LN SPOKANE, WA USA 00000 Location:: SPO Zoning: UR -3.5 Water District: Area: 11,439 Sq Ft Urban Residential 3.5 Lot: 13 Owner: Name: JIM MAHAR HOMES Address: 8121 E MARINGO SPOKANE, WA 99212 Hold: ❑ Width: 110 Depth: 130 Right Of Way (ft): 30 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information:;:................................................................... Review Review by U 'Mies Contractor: JIM MAHAR HOMES Address: 8121 E MARINGO SPOKANE, WA 99212 Item Description SEWER CONNECTION PROCESSING FEE Released Sewer Connection Permit owe'(((� Firm: JIM MAHAR HOMES Phone: (509) 879-3495 Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Fee Amount $85.00 $15.00 Permit Total Fees: $100.00 Operator: RMB Printed By: RMB Print Date: 3/26/2002 Project Number: 02001940 Inv: 1 • Applicion THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 3/26/2002 Page 2 of 2 Notes: Payment Summary: .; Permit Type Sewer Connection Permit Fee Amount Invoice Amount Amount Paid Amount Owing $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: 3/26/2002