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2004, 11-15 Permit App: 04009068 Right-of-WayProject Number: 04009068 Inv: I A�plication Date: 11/15/2004 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Proiect Information: Parcel Number: 45232.9137 Block: Lot: SiteAddress: 14422 E 4TH AVE Owner: Name: MANOS, MICHAEL C Address: 14422 E 4TH AVE Location:: SPO SPOKANE, WA 99216-2107 Zoning: UR -3.5 Urban Residential 3.5 Water District: 010 VERA Hold: ❑ Area: 6.64 Acres Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Re -vie -iv Information: Review Road Obstruction }Zeleased By �� �;ti-T G'r^ rti.�W.. c•L� ..N c_ �. /E%rOYy�.�� �-- .� �'w�Y�^/1��—c� Permits: .................................................. Right of Way Contractor: ELLER CORPORATION Firm: ELLER CORPORATION Address: P.O. BOX 117 Phone: (509) 226-0333 NEWMAN LAKE, WA 99025 Item Description Units Unit Desc Fee Amount CONST IN ROW - UTILITIES 1 NUMBER OF $16.00 ROW INSPECTION 1 NUMBER OF $25.00 Permit Total Fees: $41.00 Operator: K C Printed By: K_C Print Date: 11/15/2004 Project Number: 04009068 Inv: 1 Applicaiion Date: 11/15/2004 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes:................................................................. . Pavnzent Sumnza Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Right of Way $41.00 $41.00 $0.00 $41.00 $41.00 $41.00 $0.00 $41.00 Disclaimer.- Submittal isclaimer: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: K C Printed By: K C Print Date: 11/15/2004