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2000, 04-19 Permit App: 00002832 SewerProject Number. 00002832 Inv: I Application Date: 04/19/2000 Page 1 of I THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Proiect Information: ��- _ _ Permit Use: SEWER CONNECTION -UNIVERSITY �Contact: MOELLER, HAL �� Address: 1903 W 9TH AVE C - S - Z: SPOKANE, WA 99204 Setbacks: Front Left: Right: Rear: Phone: (509)624-8560 Group Name: Site Information: Project Name: Plat Key: 002704 Name: UNIVERSITY PLACE Parcel Numbec 45204.0668 Block: 6 SiteAddress: 10010 E STH AVE SPOKANE, WA USA 00000 Location:: SPO Zoning: UR -3.5 Urban Residential 3.5 Water District: Area: .26 Acres Width: 75 Mar of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Department Review UTILITIES Sewer Review Hold Reasons: Pemdt Conditions: District: F Lot: 4 Owner: Name: MOELLER, HAL Address: 1903 W 9TH AVE SPOKANE, WA 99204 Hold: ❑ Depth: 150 Right Of Way (ft): 60 By: Permits: --------_-- 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: 04/19/2000 Permit Twe Fee Amount Invoice Amount Amount Paid Amount Ovine Sewer Permit $100.00 $100.00 $0.00 $100.00 $100.00 $100.00 $0.00 $100.00 Notes: La !fi s� a 9 � WALNUT RD. aX� N9 TL.c, CcQS-f CTtOQ o' 0 $ �' �Yt�t-s22ah-t�, cjXIG n - G� �P U N m N 1 14 m o + z ^. co `a w 0 D c a Q Z 2 D0- I S S.S. HE.RAL.D RD N -. D3 N£ i � u I J D