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2001, 09-06 Permit App: 01007615 Sewer Project Number: 01007615 Inv: 1 Application Date: 9/6/2001 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-MOUNTAIN VIEW Contact: GOBER&SON Address: 11215 E TRENT AVE C- S -Z: SPOKANE,WA 99206 Setbacks: Front Left: Right: Rear: Phone: (509)924-5372 Group Name: Site Information: Project Name: Plat Key: 001210 Name: HILL CREST ACRES ADD District: F Parcel Number: 45274.1710 Block: 2 Lot: 10 SiteAddress: 13321 E 26TH AVE Owner: Name: ROBERTS ETUX,R L SPOKANE,WA USA 00000 Address: 2414 S PROGRESS RD Location::SPO VERADALE,WA 99037-9309 Zoning: UR-7 Urban Residential-7 Water District: Hold: El Area: 12,500 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Department Review ENGINEER Road Obstruction Released By: Hold Reasons: Permit Conditions: 0/ S jitil 513 Sewer Connection Permit Contractor: GOBER&SON&SON Firm: GOBER& SON&SON Address: 11215 E TRENT Phone: (509)924-5372 SPOKANE,WA 99206-4696 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: RMB Printed By: RMB Print Date: 9/6/2001 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Sewer Connection Permit $100.00 $100.00 $0.00 $100.00 $100.00 $100.00 $0.00 $100.00