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2001, 06-19 Permit App: 01004815 SewerProject Number: 01004815 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/19/01 Page 1 of 1 Project Information: Permit Use: SEWER CONNECTION - VALLEY VISTA Contact: MARY/Z-BEST Address: PO BOX 13421 C - S - Z: SPOKANE WA 99213 Setbacks: Front Left: Right: Rear: Phone: (509) 891-9949 Group Name: Site Information: Project Name: Plat Key: 001834 Name: OPP.TR. 1-354 District: F Parcel Number: 45163.0429 Block: Lot: SiteAddress: 10802 E VALLEY WAY SPOKANE, WA USA 99206 Location:: SPO Zoning: UNKN Unknown Water District: Area: 11,680 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Department ENGINEER Hold Reasons: Permit Conditions: Permits: Review Road Obstruction dt5L7-307 Owner: Name: PAXSON, MARIAN (TRUST) Address: 10802 E VALLEYWAY AVE SPOKANE, WA 99206-5054 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Released By:Sit Sewer Permit Contractor: Z BEST CONSTRUCTION Firm: Z BEST CONSTRUCTION Address: P 0 BOX 13241 AVE Phone: (509) 891-9949 SPOKANE, WA 99213-3241 Item Description SEWER CONNECTION PROCESSING FEE Payment Summary: Operator: JAS Permit Type Sewer Permit Notes: Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Printed By: JAS Fee Amount $100.00 $100.00 Permit Total Fees: Print Date: Invoice Amount $100.00 $100.00 Fee Amount $85.00 $15.00 $100.00 6/19/01 Amount Paid $0.00 $0.00 Amount Owing $100.00 $100.00