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2002, 03-27 Permit App: 02001962 Sewer Project Number: 02001962 Inv: 1 r Application Date: 3/27/2002 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SEWER CONNECTION-EMPIRE HEIGHTS Contact: A+DRAIN & SEWER SERVICE INC Address: 4923 N CONKLIN RD C-S -Z: SPOKANE,WA 99216 Setbacks: Front Left: Right: Rear: Phone: (509)891-2280 Group Name: Site Information: Project Name: Plat Key: 000000 Name: UNKNOWN District: D Parcel Number: 35242.2628 Block: Lot: SiteAddress: 6318 E 7TH AVE Owner: Name: MCNEILL,DANIEL R B & CAROL SPOKANE,WA USA 00000 Address: 6318 E 7TH AVE Location:: SPO SPOKANE,WA 99212 Zoning: UR-7 Urban Residential-7 Water District: Hold: ❑ Area: 6,750 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Review Road Obstruction Released By. 3" va 51.4/55. Permits: .. . Sewer Connection Permit Contractor: A+DRAIN & SEWER SERVICE Firm: A+CONSTRUCTION Address: 4923 N CONKLIN RD Phone: (509)891-2280 SPOKANE,WA 99216 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: DMD Printed By: DMD Print Date: 3/27/2002 Project Number: 02001962 Inv: 1 App1ic tion Date: 3/27/2002 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes: 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 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: DMD Printed By: DMD Print Date: 3/27/2002