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2000, 11-22 Permit App: 00010694 Sewer Project Number: 00010694 Inv: 1 Application Date: 11/22/2000 Page 1 of 1 THIS 'S NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: SEWER CONNECTION-SOUTH PONDEROSA Contact: TLC CONSTRUCTION Address: 9006 S HAYFORD RD C-S-Z: CHENEY WA 99004 Setbacks: Front Left: Right: Rear: Phone: (509)456-3687 Group Name: Site Information: Project Name: Plat Key: 000877 Name: FOREST MEADOW 1ST ADD District: E Parcel Number: 45333.1206 Block: Lot: SiteAddress: 11107 E 43RD AVE Owner:Name: HILDEBRAND,JOHN&JULIE SPOKANE,WA 99206 Address: 11107 E 43RD AVE Location::SPO SPOKANE,WA 99206 Zoning: SFR Water District: Hold: ❑ Area: 18,360 Sq Ft Width: 102 Depth: 180 Right Of Way(ft): 50 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review In formation: - ., Department Review ENGINEER Road Obstruction Released By: ,1 , Hold Reasons: Permit Conditions: CO 3j-Di Sewer Permit Contractor: TLC CONSTRUCTION Firm: TLC CONSTRUCTION Address: 9006 S HAYFORD RD Phone: (509)927-6760 CHENEY,WA 99004 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: CKF Printed By: CKF Print Date: 11/22/2000 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 Notes: