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1995, 09-26 Permit App: 95007702 Sewer PROJECT NUMBER= 95007702 APPLICATION DATE= 09/26/95 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 14422 E 16TH AVE PARCEL#= 45262. 0210 ADDRESS= VERADALE WA 99037 PERMIT USE= SEWER CONNECTION- EARLY DAWN (95S-886) PLAT#= 000000 PLAT NAME= UNKNOWN BLOCK= 1 LOT= 1 ZONE= AG DIST#= F AREA= 00000000 F/A= F WIDTH= DEPTH= R/W= 60 # OF BLDGS= # DWELLINGS= 1 WATER DIST = OWNER= SHAW, JACK PHONE= 509 924 9518 STREET= 14422 E 16TH AVE ADDRESS= VERADALE WA 99037 CONTACT NAME= ARMSTRONG CONSTRUCTION PHONE NUMBER= 509 928 0559 BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT UTILITIES CONNECTION APPROVAL REQUIRED Q;. "rCb ►5S LAE Pee,. MEMO COMMENTS: nti 04.4 .. -3>A re D °1''oP-7-95 ***************************** SEWER PERMIT ****************************** CONTRACTOR= ARMSTRONG CONSTRUCTION PHONE= 509 928 0559 STREET= P 0 BOX 14282 ADDRESS= SPOKANE WA 99214 ITEM DESCRIPTION QUANTITY FEE AMOUNT PROCESSING FEE Y 10. 00 SEWER CONNECTION 1 40. 00 ******************************* PAYMENT SUMMARY **************************** PAYMENT DATE RECEIPT# PAYMENT AMOUNT 09/26/95 00009094 50. 00 TOTAL DUE= .00 TOTAL PAID= 50. 00 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING PROJECT NUMBER= 95007702 APPLICATION DATE= 09/26/95 PAGE= 02 PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING SEWER PERMIT 50. 00 50. 00 . 00 50. 00 50. 00 . 00 PROCESSED BY: BURRIS, ROBIN PRINTED BY: WENDEL, GLORIA ******************************** THANK YOU ************************************