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2001, 04-05 Permit App: 01002219 Sewer Project Number: 01002219 Inv: 1 Application Date: 4/5/01 Page 1 of 1 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: DRYLINE SEWER CONNECTION Contact: PROHASKA,ROBERT I Address: 4125 E BOONE C-S-Z: SPOKANE,WA 99202 Setbacks: Front Left: Right: Rear: Phone: (509)928-7698 Group Name: Site Information: Project Name: Plat Key: 001834 Name: OPP.TR. 1-354 District: F Parcel Number: 45172.1311 Block: 57 Lot: SiteAddress: 1009 N WOODRUFF RD Owner:Name: PROHASKA,ROBERT I SPOKANE,WA USA 00000 Address: 4125 E BOONE Location::SPO SPOKANE,WA 99202 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 21,974 Sq Ft Width: 72 Depth: 301 Right Of Way(ft): 40 Nbr of Bldgs: 2 Nbr of Dwellings: 1 Review Information: Department Review UTILITIES Review by Utilities Released By: 3 l_t 1 Hold Reasons: Permit Conditions: —_ Sewer Permit Contractor: OWNER Firm: OWNER Address: 0 Phone: (000)000-0000 000000,00 000000 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: CKF Printed By: CKF Print Date: 4/5/01 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: