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1996, 05-20 Permit App: 96003562 Sewer %th PROJECT NUMBER= 96003562 APPLICATION DATE= 05/20/96 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 10117 E 16TH AVE PARCEL#= 45204.3939 ADDRESS= SPOKANE WA 99206 PERMIT USE= SEWER CONNECTION - UNIVERSITY PLACE (96S-475) PLAT#= 002704 PLAT NAME= UNIVERSITY PLACE BLOCK= LOT= ZONE= UNKN DIST#= F AREA= 00011000 F/A= F WIDTH= 146 DEPTH= 75 R/W= # OF BLDGS= 2 # DWELLINGS= 1 WATER DIST = SPO CO WATER DIST#3A OWNER= ROECKS, MARC R & MARYANN PHONE= 509 926 2966 STREET= 10117 E 16TH AVE ADDRESS= SPOKANE WA 99206 CONTACT NAME= MARC ROECKS PHONE NUMBER= 509 926 2966 BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT UTILITIES CONNECTION AGREEMENT REQUIRED COMMENTS: ��J 7O l S`J'C.,.�C:� S L•Wv 2 Call AA)"csf Cred? LA/2, .4 GI' 5`Lv"' / 1 ***************************** SEWER PERMIT ****************************** CONTRACTOR= OWNER PHONE= ITEM DESCRIPTION QUANTITY FEE AMOUNT PROCESSING FEE Y 10.00 SEWER CONNECTION 1 40.00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING SEWER PERMIT 50.00 .00 50.00 50.00 .00 50.00 PROCESSED BY: JULIE SHATTO PRINTED BY: JULIE SHATTO ******************************** THANK YOU ************************************