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1996, 02-09 Permit App: 96000613 Sewer PROJECT NUMBER= 96000613 APPLICATION DATE= 02/09/96 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 15420 E 23RD AVE PARCEL#= 45261.4703 ADDRESS= VERADALE WA 99037 PERMIT USE= SEWER CONNECTION - HART'S CROSSWINDS 1ST (96S-47) PLAT#= 005665 PLAT NAME= HART'S CROSSWINDS 1ST ADD BLOCK= 2 LOT= 3 ZONE= UR-3.5 DIST#= F AREA= 00000000 F/A= F WIDTH= 79 DEPTH= 114 R/W= 50 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = VERA OWNER= NICHOLSON, GLEN S PHONE= 509 484 1352 STREET= 4303 E GRACE AVE ADDRESS= SPOKANE WA 99207 CONTACT NAME= GLEN NICHOLSON PHONE NUMBER= 509 484 1352 BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA ****************************** REVIEW INFORMATION ***************************** DEPARTMENT REVIEW REQUIREMENT UTILITIES OWNER MUST CONTACT UTILITIES c.I,A.A. Z/Izieg, COMMENTS: ***************************** 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 ************************************