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2000, 02-16 Permit App: 00000912 Sewer - 1101111110111 A. Project Number: 00000912 Inv: 1 Application Date: 02/16/20 Page 1 of 1 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SEWER CONNECTION-DRY LINE ONLY Contact: TLC CONSTRUCTION Address: 9006 S HAYFORD RD Setbacks:Front Left: Right: Rear: C-S-Z CHENEY WA 99004 Phone: (509)456-3687 Site In formation: Plat Key: 001834 Name: OPP.TR. 1-354 District: F Parcel Number: 45162.0429 SiteAddress: 1322 N UNIVERSITY RD Owner:Name: WAGNOR,JEANNIE L Spokane,WA USA 99206 Address: 1322 N UNIVERSITY RD Location::SPO SPOKANE,WA 99206-4815 Zoning: UNKN Unknown Water District: Hold: ❑ Area: 17,304 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Department Review UTILITIES Review by Utilitiest� ., 'L k(Qt.-J:1 Ti:Si-triI Comments: Permits: Sewer Permit Contractor: TLC CONSTRUCTION Firm: TLC CONSTRUCTION Address: 9006 S HAYFORD RD Phone: (509)927-6760 CHENEY,WA 99004 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 Payment Summary: Operator: RMB Printed By: RMB Print Date: 02/16/2000 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Sewer Permit $100.00 $100.00 $0.00 $100.00 $100.00 $100.00 $0.00 $100.00 Notes: