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2002, 02-11 Permit App: 02000787 SewerProject Number: 02000787 Inv: 1 4 Application Date: 2/11/02 Page I of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Proiect Information: Permit Use: SEWER CONNECTION - SKYVIEW Contact: CHETTE ENTERPRISE INC Address: P.O. BOX 14585 C - S - Z: SPOKANE, WA 99214 Setbacks: Front Left: Right: Rear: Phone: (509) 927-8794 Group Name: Site Information: Project Name: Plat Key: 001393 Name: KOKOMO TOWNSITE District: F Parcel Number: 45283.4012 Block: 40 Lot: 24 SiteAddress: 11423 E 28TH AVE Owner: Name: BURNETT, LYLE W SPOKANE, WA USA 00000 Address: 11423 E 28TH AVE Location:: SPO SPOKANE, WA 99206-7115 Zoning: UR -3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 8,175 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information:._ti Review Road Obstruction Released By: dk�I I I Permits: Sewer Connection Permit Contractor: CHETTE ENTERPRISE INC. Firm: CHETTE ENTERPRISE INC. Address: 13610 E 20TH AVE Phone: (509) 927-8794 SPOKANE, WA 99216 Item Description SEWER CONNECTION PROCESSING FEE Units Unit Desc 1 NUMBER OF I Y OR BLANK Permit Total Fees: Fee Amount $85.00 $15.00 $100.00 Operator: CKF Printed By: CKF Print Date: 2/11/02 ?-- Project Number: 02000787 Inv: 1 Applicat' Date: 2/11/02 Page 2 of 2 i THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes: Payment Summa Permit Tyne Fee Amount Invoice Amount Amount Paid Amount Owine Sewer Connection Permit $100.00 $100.00 $0.00 $100.00 $100.00 $100.00 $0.00 $100.00 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be contrued to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: CKF Printed By: CKF Print Date: 2/11/02