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2002, 10-07 Permit App: 02008816 Sewer Project Number: 02008816 Inv: 1 Application Date: 10/7/2002 Page 1 of 2 THIS IS NOTA PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SEWER CONNECTION-EMPIRE HEIGHTS Contact: ROTO ROOTER PLUMBING Address: 1702 E HOLYOAK C -S -Z: SPOKANE,WA 99217 Setbacks: Front Left: Right: Rear: Phone: (509)000-0000 Group Name: Site Information: Project Name: Plat Key: 000735 Name: EMPIRE HEIGHTS ADD District: E Parcel Number: 35241.3512 Block: Lot: SiteAddress: 7119 E 6TH AVE Owner: Name: GROPP,FRANK SPOKANE,WA 99206 Address: 7119 E 6TH AVE Location::SPO SPOKANE,WA 99206 Zoning: UR-7 Urban Residential-7 Water District: Hold: ❑ Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 60 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Road Obstruction Released By: j G 0 /l 9 sN f Sewer Connection Permit Contractor: ROTO ROOTER SEWER& Firm: ROTO ROOTER SEWER&PLUM Address: 6515 N PERRY Phone: (509)484-6937 SPOKANE,WA 99217 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: 10/7/2002 s 4 t, Project Number: 02008816 Inv: 1 ppheation Date: 10/7/2002 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes: CONTOL AREA FOR DRAINAGE MORITORIUM SEE MAPS FOR SPECIFICS 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 construed 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: 10/7/2002