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2001, 07-24 Permit App: 01006100 Sewer Project Number: 01006100 Inv: 1 Application Date: 7/24/2001 Page 1 of 1 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SEWER CONNECTION-DISHMAN COMMONS Contact: NORTHWEST REGIONAL FACILITATO Address: 525 E MISSION AVE C-S-Z: SPOKANE,WA 99202-1824 Setbacks: Front Left: Right: Rear: Phone: (509)484-6733 Group Name: Project Name: Site Information: mation: Plat Key: 006123 Name: DISHMAN COMMONS District: F Parcel Number: 45291.2106 Block: 2 Lot: 3A SiteAddress: 10120 E 16TH AVE Owner:Name: NORTHWEST REGIONAL FA SPOKANE,WA USA 00000 Address: 525 E MISSION AVE Location::SPO SPOKANE,WA 99202-1824 Zoning: UR-12 Urban Residential-12 Water District: Hold: ❑ Area: 5,245 Sq Ft Width: 42 Depth: 123 Right Of Way(ft): 60 Nbr of Bldgs: 1 Nbr of Dwellings: 1 iew In o rm Rev f Department Review UTILITIES Review by Utilities Released By (740--Z NgEft-- Hold Reasons: Permit Conditions: Perm its: .......................................................................................................................................................... Sewer Permit Contractor: NORTHWEST REGIONAL Firm: NORTHWEST REGIONAL FACILI Address: 525 E. MISSION AVE Phone: (509)484-6733 SPOKANE,WA 99202 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: MKC Printed By: MKC Print Date: 7/24/2001 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Sewer Permit $100.00 $100.00 $0.00 $100.00 $100.00 $100.00 $0.00 $100.00