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2002, 06-18 Permit App: 02004887 SewerProject Number: 02009887 Inv: l Fr Application Date: 6/18/2002 Page 1 of 2 THIS ISP OT A PERMIT Penalties will be assessed for commencing work without a permit Protect Information: Permit Use: SEWER CONNECTION - PONDEROSA Contact: VISTA CONSTRUCTION & DEV Address: 3420 N. TSCHIRLEY RD C - S - Z: SPOKANE, WA 99216 Setbacks: Front Left: Right: Rear: Phone: (509) 926-2243 Group Name: Site Information: ........................................................::::::::::Project Name:::::::::::::::::::::;:::.;:.;:.;:.;:.;;:.;: -;:.;;;:.:.:;.;: Plat Key: CONV Name: CONVERTED CNTY DATA District: D Parcel Number: 44042.1430 Block: Lot: SiteAddress: 11320 E 46TH AVE Owner: Name: DRUMMOND, JEANIE SPOKANE, WA 99206 Address: 11320 E 46TH AVE Location:: SPO SPOKANE, WA 99206 Zoning: UNK Water District: Area: 14,000 Sq Ft Width: 100 Depth: 140 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review Information: Hold: ❑ Review Road Obstruction ................... ................... Sewer Connection Permit Contractor: VISTA CONSTRUCTION & Firm: VISTA CONSTRUCTION & DEV Address: 3420 N TSCHIRLEY RD #1 Phone: (509) 926-2243 SPOKANE, WA 99216 Item Description SEWER CONNECTION PROCESSING FEE Units Unit Desc 1 NUMBER OF 1 Y OR BLANK Fee Amount $85.00 $15.00 Permit Total Fees: $100.00 Operator: RM B Printed By: RMB Print Date: 6/18/2002 Project Number: 02004887 Inv: 1 Applicatict Date: 6/18/2002 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for come .icing work without a permit Permit Type Fee Amount Invoice Amount Sewer Connection Permit $100.00 $100.00 $100.00 $100.00 Amount Paid Amount Owing $0.00 $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 he a permit tor, 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: RMB Printed By: RMB Print Date: 6/18/2002