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2002, 03-28 Permit App: 02002005 Sewer Project Number: 02002005 Inv: 1 Application Date: 3/28/2002 Page 1 of 2 THIS IS NOT A PtRMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SEWER CONNECTION-TURTLE CREEK 3RD Contact: JIM MAHAR HOMES INC Address: 8121 E MARINGO C- S -Z: SPOKANE,WA 99212 Setbacks: Front Left: Right: Rear: Phone: (509)899-3495 Group Name: Site Information: Project Name: Plat Key: 006113 Name: TURTLE CREEK 3RD ADDITION District: G Parcel Number: 55194.1310 Block: 3 Lot: 10 SiteAddress: 18520 E 9TH CT Owner: Name: JIM MAHAR HOMES INC SPOKANE,WA USA 00000 Address: 8121 E MARINGO Location::SPO SPOKANE,WA 99212 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 10,625 Sq Ft Width: 85 Depth: 125 Right Of Way(ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Review by Utilities Released By tel Sewer Connection Permit Contractor: J L HAWKINS EXCAVATING Firm: JACK HAWKINS EXCAVATING Address: 9722 E NORA AVE Phone: (509) 924-9025 SPOKANE,WA 99206-0000 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: 3/28/2002 Project Number: 02002005 Inv: 1 A .pr_ ,aiion Date: 3/28/2002 Page 2 of 2 � THIS ioS 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: 3/28/2002