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2004, 12-02 Permit: 04009275 ROWSpokane Valley ,BUILDING DIVISION -- 11707 E Sprague Avenue Suite 106 Spokane Valley, WA 99206 Site Information Project Information Site Address: 9715 E 45TH AVE Parcel Number: 44052.0401 Subdivision: Block: Lot: Zoning: SR -1 Suburban Residential 1 Owner: NOLAN, PAT Address: 9715 E 45TH AVE SPOICANE, WA 99206 Building Inspector: Water Dist: Project Number: 04009275 Inv: 1 Issue Date: 12/02/2004 Permit Use: STREET OBSTRUCTION FOR MAINTENANCE DIG OF CABLE Applicant: QWEST CORPORATION 904 N COLUMBUS ST SPOKANE, WA 99202 Contact: QWEST CORPORATION 904 N COLUMBUS ST SPOKANE, WA 99202 Phone: (509)455-2101 Phone: (509)455-2101 Setbacks - Front: Left: Right: Rear: Jurisdiction:: QWEST COMMUNICATIONS CO Group Name: Project Name: ROW Permits Right of Way Contractor: CONNER EXCAVATING Licensed: WCCONE'2771R CONST INROW- UTILITIES 1 51600 ROW INSPECTION 1 525.00 Total Permit Fee: 541.00 FOR RIGHT OF WAY INSPECTIONS CALL (509) 869-5373 ENGINEERING Payment Summary Total Fees AmountPaid AmountOwinv 541.00 $0.00 $41.00 Tran Date Receipt ti Payment Amt 12/02/2004 Processed By: KATHY CUMMINGS Printed By: MIKE TURBAK Page 1 of I 6002 $0.00 PERMIT