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2002, 03-19 Permit App: 02001713 Sewer • Project Number: 02001713 Inv: 1 Application Date: 3/19/2002 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed forcommencingwork without a permit Project Information: Permit Use: SEWER CONNECTION-TURTLE CREEK 3RD Contact: HOMESTEAD CONSTRUCTION,INC Address: 112 S FARR RD C-S -Z: SPOKANE,WA 99206- Setbacks: Front Left: Right: Rear: Phone: (509)892-0454 Group Name: Project Name: Site Information: Plat Key: 006113 Name: TURTLE CREEK 3RD ADDITION District: G Parcel Number: 55194.1305 Block: 3 Lot: 5 SiteAddress: 18615 E 9TH CT Owner: Name: HOMESTEAD CONSTRUCTION,I GREENACRES,WA USA 990 Address: 112 S FARR RD Location:: GRE SPOKANE,WA 99206- Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 15,045 Sq Ft Width: 58 Depth: 115 Right Of Way(ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Review Review by Utilities Released By:`7; G ' '' 17/ Permits: — — Sewer Connection Permit Contractor: FOLSOM EXCAVATING INC Firm: FOLSOM EXCAVATING Address: 16701 E VALLEYWAY AVE Phone: (509)891-1232 VERADALE,WA 99037 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: 3/19/2002 Project Number: 02001713 Inv: 1 Application Date: 3/19/2002 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: 3/19/2002